21D2235593 CLIA NUMBER - PATIENT FIRST - ASPEN HILL

Laboratory Demographics

CLIA Number: 21D2235593

Facility Name: PATIENT FIRST - ASPEN HILL

Facility Address:
13671 GEORGIA AVENUE
ASPEN HILL, MD
ZIP 20906
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Facility Phone Number: 240 514-0000

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1366113391

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	21D2235593
LAB Type	Physician Office
Facility Name	PATIENT FIRST - ASPEN HILL
Street	13671 GEORGIA AVENUE
City	ASPEN HILL
State	MD
ZIP	20906
Phone	240 514-0000
CertificateType	2
CertificateEffectiveDate	5/4/2023
CertificateExpirationDate	5/3/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024