21D2329432 CLIA NUMBER - JCA MEDICAL ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 21D2329432
  • Facility Name: JCA MEDICAL ASSOCIATES LLC
  • Facility Address: 12401 MIDDLEBROOK RD #170
    GERMANTOWN, MD
    ZIP 20874
  • Facility Phone: 240 203-8820
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BAEKCHEOL LEE
  • NPI Number: 1124859665
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2329432
LAB Type Physician Office
Facility Name JCA MEDICAL ASSOCIATES LLC
Street 12401 MIDDLEBROOK RD #170
City GERMANTOWN
State MD
ZIP 20874
Phone 240 203-8820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Physician Office
Lab Director BAEKCHEOL LEE

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