21D2298194 CLIA NUMBER - IN STEP PODIATRY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 21D2298194
  • Facility Name: IN STEP PODIATRY SURGERY CENTER
  • Facility Address: 2905 MITCHELLVILLE RD #105
    BOWIE, MD
    ZIP 20716
  • Facility Phone: 301 430-0311
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: QUEEN MBANUZUE
  • NPI Number: 1245527258
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2298194
LAB Type Ambulatory Surgery Center
Facility Name IN STEP PODIATRY SURGERY CENTER
Street 2905 MITCHELLVILLE RD #105
City BOWIE
State MD
ZIP 20716
Phone 301 430-0311
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 Ambulatory Surgery Center
Lab Director QUEEN MBANUZUE

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This page was last updated on: 6/4/2025