21D2255466 CLIA NUMBER - INFECTIOUS DISEASE CARE CENTER

Laboratory Demographics

  • CLIA Code: 21D2255466
  • Facility Name: INFECTIOUS DISEASE CARE CENTER
  • Facility Address: 6510 KENKWORTH AVE, #2500
    RIVERDALE, MD
    ZIP 20737
  • Facility Phone: 410 997-7677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IMRAN H. CHOWDHURY
  • NPI Number: 1699728089
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2255466
LAB Type Physician Office
Facility Name INFECTIOUS DISEASE CARE CENTER
Street 6510 KENKWORTH AVE, #2500
City RIVERDALE
State MD
ZIP 20737
Phone 410 997-7677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director IMRAN H. CHOWDHURY

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This page was last updated on: 3/20/2025