21D0213404 CLIA NUMBER - OBSTETRICS AND GYNECOLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 21D0213404

Facility Name: OBSTETRICS AND GYNECOLOGY ASSOCIATES

Facility Address:
10750 COLUMBIA PIKE #700
SILVER SPRING, MD
ZIP 20901
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Facility Phone Number: 301 219-5655

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144252859

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D0213404
LAB Type	Physician Office
Facility Name	OBSTETRICS AND GYNECOLOGY ASSOCIATES
Street	10750 COLUMBIA PIKE #700
City	SILVER SPRING
State	MD
ZIP	20901
Phone	301 219-5655
CertificateType	4
CertificateEffectiveDate	2/29/2024
CertificateExpirationDate	2/27/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024