21D2318423 CLIA NUMBER - LIVES SAVERS URGENT CARE CLINIC

Laboratory Demographics

  • CLIA Code: 21D2318423
  • Facility Name: LIVES SAVERS URGENT CARE CLINIC
  • Facility Address: 4235 SOUTHERN AVE
    CAPITOL HEIGHTS, MD
    ZIP 20743
  • Facility Phone: 240 627-7312
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLUWAKEMI OSIDELE
  • NPI Number: 1770397366
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2318423
LAB Type Physician Office
Facility Name LIVES SAVERS URGENT CARE CLINIC
Street 4235 SOUTHERN AVE
City CAPITOL HEIGHTS
State MD
ZIP 20743
Phone 240 627-7312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director OLUWAKEMI OSIDELE

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