21D2298193 CLIA NUMBER - VIP PHYSICIAN GROUP LLC

Laboratory Demographics

  • CLIA Code: 21D2298193
  • Facility Name: VIP PHYSICIAN GROUP LLC
  • Facility Address: 166 DEFENSE HIGHWAY SUITE 303
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 240 914-8721
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEMRA SAHINCI
  • NPI Number: 1134909955
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2298193
LAB Type Physician Office
Facility Name VIP PHYSICIAN GROUP LLC
Street 166 DEFENSE HIGHWAY SUITE 303
City ANNAPOLIS
State MD
ZIP 21401
Phone 240 914-8721
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director SEMRA SAHINCI

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