21D0968622 CLIA NUMBER - DAVID PLOTKIN MD LLC

Laboratory Demographics

  • CLIA Code: 21D0968622
  • Facility Name: DAVID PLOTKIN MD LLC
  • Facility Address: 18111 PRINCE PHILLIP DRIVE STE 304
    OLNEY, MD
    ZIP 20832
  • Facility Phone: 301 570-7633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID H. PLOTKIN MD
  • NPI Number: 1831265685
  • Taxonomy: 207RS0010X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0968622
LAB Type Physician Office
Facility Name DAVID PLOTKIN MD LLC
Street 18111 PRINCE PHILLIP DRIVE STE 304
City OLNEY
State MD
ZIP 20832
Phone 301 570-7633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director DAVID H. PLOTKIN MD

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