21D2319567 CLIA NUMBER - COMMUNITY DOT LLC

Laboratory Demographics

  • CLIA Code: 21D2319567
  • Facility Name: COMMUNITY DOT LLC
  • Facility Address: 8507 OXON HILL RD STE 200
    FORT WASHINGTON, MD
    ZIP 20744
  • Facility Phone: 301 821-3401
  • Facility Type: Other - MOLBILE DOT CLINIC/ HEALT
  • Facility Type: Waiver
  • Lab Director: CHANISE ISAAC
  • NPI Number: 1114348463
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2319567
LAB Type Other - MOLBILE DOT CLINIC/ HEALT
Facility Name COMMUNITY DOT LLC
Street 8507 OXON HILL RD STE 200
City FORT WASHINGTON
State MD
ZIP 20744
Phone 301 821-3401
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 Other - MOLBILE DOT CLINIC/ HEALT
Lab Director CHANISE ISAAC

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