21D2269478 CLIA NUMBER - WORLDSHINE CLOVERLEAF LLC

Laboratory Demographics

  • CLIA Code: 21D2269478
  • Facility Name: WORLDSHINE CLOVERLEAF LLC
  • Facility Address: 110 THOMAS JOHNSON DR STE 150
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 378-2950
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: RUI LU
  • NPI Number: 1861145393
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2269478
LAB Type School/Student Health Service
Facility Name WORLDSHINE CLOVERLEAF LLC
Street 110 THOMAS JOHNSON DR STE 150
City FREDERICK
State MD
ZIP 21702
Phone 301 378-2950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type School/Student Health Service
Lab Director RUI LU

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