21D0685047 CLIA NUMBER - DRS JAFFE, O'NEILL AND LINDGREN PA

Laboratory Demographics

  • CLIA Code: 21D0685047
  • Facility Name: DRS JAFFE, O'NEILL AND LINDGREN PA
  • Facility Address: 6410 ROCKLEDGE DR SUITE 402
    BETHESDA, MD
    ZIP 20817
  • Facility Phone: 301 530-4800
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK J. JAFFE MD
  • NPI Number: 1417126129
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D0685047
LAB Type Physician Office
Facility Name DRS JAFFE, O'NEILL AND LINDGREN PA
Street 6410 ROCKLEDGE DR SUITE 402
City BETHESDA
State MD
ZIP 20817
Phone 301 530-4800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director MARK J. JAFFE MD

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