21D0673684 CLIA NUMBER - KENWOOD PEDIATRICS DRS IDRISS

Laboratory Demographics

  • CLIA Code: 21D0673684
  • Facility Name: KENWOOD PEDIATRICS DRS IDRISS
  • Facility Address: 5301 WESTBARD CIRCLE SUITE #3
    BETHESDA, MD
    ZIP 20816
  • Facility Phone: 301 654-6303
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. NADINE Z. IDRISS
  • NPI Number: 1790020642
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0673684
LAB Type Physician Office
Facility Name KENWOOD PEDIATRICS DRS IDRISS
Street 5301 WESTBARD CIRCLE SUITE #3
City BETHESDA
State MD
ZIP 20816
Phone 301 654-6303
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Physician Office
Lab Director DR. NADINE Z. IDRISS

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