21D2267254 CLIA NUMBER - ADVENTIST MEDICAL GROUP/ TAKOMA PARK PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 21D2267254
  • Facility Name: ADVENTIST MEDICAL GROUP/ TAKOMA PARK PRIMARY CARE
  • Facility Address: 7610 CARROLL AVENUE
    TAKOMA PARK, MD
    ZIP 20912
  • Facility Phone: 301 315-3103
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAYNE MEYER
  • NPI Number: 1699219980
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2267254
LAB Type Physician Office
Facility Name ADVENTIST MEDICAL GROUP/ TAKOMA PARK PRIMARY CARE
Street 7610 CARROLL AVENUE
City TAKOMA PARK
State MD
ZIP 20912
Phone 301 315-3103
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 Physician Office
Lab Director WAYNE MEYER

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