21D2299348 CLIA NUMBER - ALPAS WELLNESS LA PLATA

Laboratory Demographics

  • CLIA Code: 21D2299348
  • Facility Name: ALPAS WELLNESS LA PLATA
  • Facility Address: 1014 WASHINGTON AVE
    LA PLATA, MD
    ZIP 20646
  • Facility Phone: 877 662-5727
  • Facility Type: Other - RSA
  • Facility Type: Waiver
  • Lab Director: ANDREA WATKINS
  • NPI Number: 1689450371
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2299348
LAB Type Other - RSA
Facility Name ALPAS WELLNESS LA PLATA
Street 1014 WASHINGTON AVE
City LA PLATA
State MD
ZIP 20646
Phone 877 662-5727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Other - RSA
Lab Director ANDREA WATKINS

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