21D0883457 CLIA NUMBER - JAMES M KIWANUKA MD

Laboratory Demographics

  • CLIA Code: 21D0883457
  • Facility Name: JAMES M KIWANUKA MD
  • Facility Address: 935 A RUSSELL AVENUE
    GAITHERSBURG, MD
    ZIP 20879
  • Facility Phone: 301 926-7891
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES M. KIWANUKA MD
  • NPI Number: 1811951049
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0883457
LAB Type Physician Office
Facility Name JAMES M KIWANUKA MD
Street 935 A RUSSELL AVENUE
City GAITHERSBURG
State MD
ZIP 20879
Phone 301 926-7891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director JAMES M. KIWANUKA MD

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