21D2271090 CLIA NUMBER - AFFILIATED SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 21D2271090
  • Facility Name: AFFILIATED SPECIALISTS LLC
  • Facility Address: 9811 GREENBELT RD SUITE 205
    LANHAM, MD
    ZIP 20706
  • Facility Phone: 240 413-5792
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RADMAN MOSTAGHIM
  • NPI Number: 1376091355
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2271090
LAB Type Physician Office
Facility Name AFFILIATED SPECIALISTS LLC
Street 9811 GREENBELT RD SUITE 205
City LANHAM
State MD
ZIP 20706
Phone 240 413-5792
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Physician Office
Lab Director RADMAN MOSTAGHIM

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