21D2264006 CLIA NUMBER - TORCH TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 21D2264006
  • Facility Name: TORCH TREATMENT CENTER
  • Facility Address: 1190 BOURNEFIELD WAY STE 100
    SILVER SPRING, MD
    ZIP 20904
  • Facility Phone: 301 755-5957
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KHUDSIATU TUCKER
  • NPI Number: 1164120440
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2264006
LAB Type Physician Office
Facility Name TORCH TREATMENT CENTER
Street 1190 BOURNEFIELD WAY STE 100
City SILVER SPRING
State MD
ZIP 20904
Phone 301 755-5957
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director DR. KHUDSIATU TUCKER

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