21D2270016 CLIA NUMBER - MOORE OBGYN

Laboratory Demographics

  • CLIA Code: 21D2270016
  • Facility Name: MOORE OBGYN
  • Facility Address: 7610 PENNSYLVANIA AVE STE 305
    FORESTVILLE, MD
    ZIP 20747
  • Facility Phone: 301 669-1870
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. FIRAS ALHASSAN
  • NPI Number: 1649564725
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 21D2270016
LAB Type Physician Office
Facility Name MOORE OBGYN
Street 7610 PENNSYLVANIA AVE STE 305
City FORESTVILLE
State MD
ZIP 20747
Phone 301 669-1870
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director DR. FIRAS ALHASSAN

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