21D0211985 CLIA NUMBER - OLNEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D0211985
  • Facility Name: OLNEY PEDIATRICS
  • Facility Address: 18111 PRINCE PHILIP DR, STE 311
    OLNEY, MD
    ZIP 20832
  • Facility Phone: 301 774-4100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTORIA LEE
  • NPI Number: 1770525099
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0211985
LAB Type Physician Office
Facility Name OLNEY PEDIATRICS
Street 18111 PRINCE PHILIP DR, STE 311
City OLNEY
State MD
ZIP 20832
Phone 301 774-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Physician Office
Lab Director VICTORIA LEE

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