21D2315628 CLIA NUMBER - JARED MATHEWS MD LLC

Laboratory Demographics

  • CLIA Code: 21D2315628
  • Facility Name: JARED MATHEWS MD LLC
  • Facility Address: 925 BISHOP WALSH RD #4
    CUMBERLAND, MD
    ZIP 21502
  • Facility Phone: 301 777-5326
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JARED T. MATHEWS
  • NPI Number: 1174017545
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2315628
LAB Type Physician Office
Facility Name JARED MATHEWS MD LLC
Street 925 BISHOP WALSH RD #4
City CUMBERLAND
State MD
ZIP 21502
Phone 301 777-5326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director DR. JARED T. MATHEWS

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