21D0948783 CLIA NUMBER - GARY M ROGGIN MD

Laboratory Demographics

  • CLIA Code: 21D0948783
  • Facility Name: GARY M ROGGIN MD
  • Facility Address: 10215 FERNWOOD ROAD SUITE 401
    BETHESDA, MD
    ZIP 20817
  • Facility Phone: 301 530-8003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY M. ROGGIN MD
  • NPI Number: 1568429611
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0948783
LAB Type Physician Office
Facility Name GARY M ROGGIN MD
Street 10215 FERNWOOD ROAD SUITE 401
City BETHESDA
State MD
ZIP 20817
Phone 301 530-8003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director GARY M. ROGGIN MD

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