21D0211951 CLIA NUMBER - OLNEY MEDICAL ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 21D0211951
  • Facility Name: OLNEY MEDICAL ASSOCIATES LLC
  • Facility Address: 18213 HILLCREST AVENUE
    OLNEY, MD
    ZIP 20832
  • Facility Phone: 301 774-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD P. TAUBMAN
  • NPI Number: 1609967736
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0211951
LAB Type Physician Office
Facility Name OLNEY MEDICAL ASSOCIATES LLC
Street 18213 HILLCREST AVENUE
City OLNEY
State MD
ZIP 20832
Phone 301 774-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Physician Office
Lab Director EDWARD P. TAUBMAN

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