21D2304542 CLIA NUMBER - ASTHMA & ALLERGY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2304542
  • Facility Name: ASTHMA & ALLERGY CENTER LLC
  • Facility Address: 12150 ANNAPOLIS RD STE 108
    GLENN DALE, MD
    ZIP 20769
  • Facility Phone: 205 209-4132
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARNOLD KIRSHENBAUM
  • NPI Number: 1528947017
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 21D2304542
LAB Type Physician Office
Facility Name ASTHMA & ALLERGY CENTER LLC
Street 12150 ANNAPOLIS RD STE 108
City GLENN DALE
State MD
ZIP 20769
Phone 205 209-4132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Physician Office
Lab Director ARNOLD KIRSHENBAUM

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