21D2246650 CLIA NUMBER - DIMITRI COUPET, MD, PC

Laboratory Demographics

  • CLIA Code: 21D2246650
  • Facility Name: DIMITRI COUPET, MD, PC
  • Facility Address: 14201 LAUREL PARK DR SUITE 106
    LAUREL, MD
    ZIP 20707
  • Facility Phone: 240 264-6595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIMITRI Y. COUPET
  • NPI Number: 1649698200
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2246650
LAB Type Physician Office
Facility Name DIMITRI COUPET, MD, PC
Street 14201 LAUREL PARK DR SUITE 106
City LAUREL
State MD
ZIP 20707
Phone 240 264-6595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Physician Office
Lab Director DIMITRI Y. COUPET

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This page was last updated on: 9/29/2025