21D0946285 CLIA NUMBER - LAWRENCE J GREEN MD

Laboratory Demographics

  • CLIA Code: 21D0946285
  • Facility Name: LAWRENCE J GREEN MD
  • Facility Address: 9601 BLACKWELL ROAD #260
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 610-0663
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAWRENCE J. GREEN MD
  • NPI Number: 1073581344
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D0946285
LAB Type Physician Office
Facility Name LAWRENCE J GREEN MD
Street 9601 BLACKWELL ROAD #260
City ROCKVILLE
State MD
ZIP 20850
Phone 301 610-0663
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 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director LAWRENCE J. GREEN MD

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