21D2319566 CLIA NUMBER - ANGU MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D2319566
  • Facility Name: ANGU MEDICAL ASSOCIATES
  • Facility Address: 10308 NEW HAMPSHIRE AVE
    SILVER SPRING, MD
    ZIP 20903
  • Facility Phone: 202 644-6886
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GERMAIN ANGU
  • NPI Number: 1780379255
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2319566
LAB Type Practitioner Other
Facility Name ANGU MEDICAL ASSOCIATES
Street 10308 NEW HAMPSHIRE AVE
City SILVER SPRING
State MD
ZIP 20903
Phone 202 644-6886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Practitioner Other
Lab Director GERMAIN ANGU

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