21D2261949 CLIA NUMBER - SAVING LIVES CENTER FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 21D2261949
  • Facility Name: SAVING LIVES CENTER FAMILY CLINIC
  • Facility Address: 4235 SOUTHERN AVE
    CAPITOL HEIGHTS, MD
    ZIP 20743
  • Facility Phone: 240 618-3104
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLUWAKEMI O. OSIDELE
  • NPI Number: 1801378435
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2261949
LAB Type Physician Office
Facility Name SAVING LIVES CENTER FAMILY CLINIC
Street 4235 SOUTHERN AVE
City CAPITOL HEIGHTS
State MD
ZIP 20743
Phone 240 618-3104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director OLUWAKEMI O. OSIDELE

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