21D0931128 CLIA NUMBER - CHEVY CHASE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 21D0931128
  • Facility Name: CHEVY CHASE ENDOSCOPY CENTER
  • Facility Address: 5530 WISCONSIN AVENUE SUITE 500
    CHEVY CHASE, MD
    ZIP 20815
  • Facility Phone: 301 654-8020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: IRA D. SHOCKET
  • NPI Number: 1316919574
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0931128
LAB Type Ambulatory Surgery Center
Facility Name CHEVY CHASE ENDOSCOPY CENTER
Street 5530 WISCONSIN AVENUE SUITE 500
City CHEVY CHASE
State MD
ZIP 20815
Phone 301 654-8020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Ambulatory Surgery Center
Lab Director IRA D. SHOCKET

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