21D2277112 CLIA NUMBER - HEAL THYSELF LLC

Laboratory Demographics

  • CLIA Code: 21D2277112
  • Facility Name: HEAL THYSELF LLC
  • Facility Address: 4000 MITCHELLVILLE RD A308
    BOWIE, MD
    ZIP 20716
  • Facility Phone: 301 758-8929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANNA B. MCCALL
  • NPI Number: 1306576434
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2277112
LAB Type Physician Office
Facility Name HEAL THYSELF LLC
Street 4000 MITCHELLVILLE RD A308
City BOWIE
State MD
ZIP 20716
Phone 301 758-8929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director DR. ANNA B. MCCALL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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