21D2304092 CLIA NUMBER - THE MOOD CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2304092
  • Facility Name: THE MOOD CENTER LLC
  • Facility Address: 927 WEST STREET
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 940-6663
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP MOORE
  • NPI Number: 1023757846
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 21D2304092
LAB Type Physician Office
Facility Name THE MOOD CENTER LLC
Street 927 WEST STREET
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 940-6663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director PHILIP MOORE

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