21D2267232 CLIA NUMBER - MD MATT LLC

Laboratory Demographics

  • CLIA Code: 21D2267232
  • Facility Name: MD MATT LLC
  • Facility Address: 7309 BALTIMORE AVE #219
    COLLEGE PARK, MD
    ZIP 20740
  • Facility Phone: 443 559-4137
  • Facility Type: Other - NP OFFICE
  • Facility Type: Waiver
  • Lab Director: ASIA DOUGLAS
  • NPI Number: 1356857395
  • Taxonomy: 261QM0850X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2267232
LAB Type Other - NP OFFICE
Facility Name MD MATT LLC
Street 7309 BALTIMORE AVE #219
City COLLEGE PARK
State MD
ZIP 20740
Phone 443 559-4137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Other - NP OFFICE
Lab Director ASIA DOUGLAS

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