21D0976355 CLIA NUMBER - AHC SGMC WOMEN'S MATERNAL CARECENTER

Laboratory Demographics

  • CLIA Code: 21D0976355
  • Facility Name: AHC SGMC WOMEN'S MATERNAL CARECENTER
  • Facility Address: 9715 MEDICAL CENTER DRIVE SUITE 2
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 414-2300
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: DR. JENNIFER KASIRSKY
  • NPI Number: 1063062057
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0976355
LAB Type Hospital
Facility Name AHC SGMC WOMEN'S MATERNAL CARECENTER
Street 9715 MEDICAL CENTER DRIVE SUITE 2
City ROCKVILLE
State MD
ZIP 20850
Phone 301 414-2300
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 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Hospital
Lab Director DR. JENNIFER KASIRSKY

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This page was last updated on: 3/20/2025