21D1033557 CLIA NUMBER - RETINAL GROUP OF WASHINGTON, PLLC

Laboratory Demographics

  • CLIA Code: 21D1033557
  • Facility Name: RETINAL GROUP OF WASHINGTON, PLLC
  • Facility Address: 520 UPPER CHESAPEAKE DRIVE STE 401
    BEL AIR, MD
    ZIP 21014
  • Facility Phone: 301 474-4679
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUGENE E. PROTZKO MD
  • NPI Number: 1720145766
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 21D1033557
LAB Type Physician Office
Facility Name RETINAL GROUP OF WASHINGTON, PLLC
Street 520 UPPER CHESAPEAKE DRIVE STE 401
City BEL AIR
State MD
ZIP 21014
Phone 301 474-4679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director EUGENE E. PROTZKO MD

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