21D2274808 CLIA NUMBER - WASHINGTON CONCIERGE MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 21D2274808
  • Facility Name: WASHINGTON CONCIERGE MEDICAL GROUP
  • Facility Address: 5530 WISCONSIN AVENUE SUITE 914
    CHEVY CHASE, MD
    ZIP 20815
  • Facility Phone: 301 708-8464
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI SANAI
  • NPI Number: 1851589048
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 21D2274808
LAB Type Physician Office
Facility Name WASHINGTON CONCIERGE MEDICAL GROUP
Street 5530 WISCONSIN AVENUE SUITE 914
City CHEVY CHASE
State MD
ZIP 20815
Phone 301 708-8464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director ALI SANAI

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