21D0917646 CLIA NUMBER - JOLAN RHODES MD PA

Laboratory Demographics

  • CLIA Code: 21D0917646
  • Facility Name: JOLAN RHODES MD PA
  • Facility Address: 3331 TOLEDO TERRACE SUITE 207
    HYATTSVILLE, MD
    ZIP 20782
  • Facility Phone: 301 559-6356
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOLAN RHODES MD PA
  • NPI Number: 1386759355
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0917646
LAB Type Physician Office
Facility Name JOLAN RHODES MD PA
Street 3331 TOLEDO TERRACE SUITE 207
City HYATTSVILLE
State MD
ZIP 20782
Phone 301 559-6356
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 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director JOLAN RHODES MD PA

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