21D2247168 CLIA NUMBER - NUEVA VITA LLC

Laboratory Demographics

  • CLIA Code: 21D2247168
  • Facility Name: NUEVA VITA LLC
  • Facility Address: 2415 MUSGROVE ROAD, SUITE 302
    SILVER SPRING, MD
    ZIP 20904
  • Facility Phone: 703 626-5230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA A. MARTIN
  • NPI Number: 1699341859
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2247168
LAB Type Physician Office
Facility Name NUEVA VITA LLC
Street 2415 MUSGROVE ROAD, SUITE 302
City SILVER SPRING
State MD
ZIP 20904
Phone 703 626-5230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Physician Office
Lab Director MARIA A. MARTIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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