21D0915387 CLIA NUMBER - WINTER GROWTH INC

Laboratory Demographics

  • CLIA Code: 21D0915387
  • Facility Name: WINTER GROWTH INC
  • Facility Address: 18110 PRINCE PHILIP DRIVE
    OLNEY, MD
    ZIP 20832
  • Facility Phone: 301 774-7501
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ANDREW LAZRIS
  • NPI Number: 1750505871
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0915387
LAB Type Other
Facility Name WINTER GROWTH INC
Street 18110 PRINCE PHILIP DRIVE
City OLNEY
State MD
ZIP 20832
Phone 301 774-7501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Other
Lab Director ANDREW LAZRIS

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