21D2326645 CLIA NUMBER - ICARENOW

Laboratory Demographics

  • CLIA Code: 21D2326645
  • Facility Name: ICARENOW
  • Facility Address: 20 WATKINS PARK DR
    UPPER MARLBORO, MD
    ZIP 20774
  • Facility Phone: 301 350-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EJAZ KHAU
  • NPI Number: 1245967033
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2326645
LAB Type Physician Office
Facility Name ICARENOW
Street 20 WATKINS PARK DR
City UPPER MARLBORO
State MD
ZIP 20774
Phone 301 350-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director EJAZ KHAU

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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