21D1034416 CLIA NUMBER - GASTROINTESTINAL ENDOSCOPY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D1034416
  • Facility Name: GASTROINTESTINAL ENDOSCOPY ASSOCIATES
  • Facility Address: STE 200 15005 SHADY GROVE ROAD
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 340-8099
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NEIL JULIE
  • NPI Number: 1871568329
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1034416
LAB Type Ambulatory Surgery Center
Facility Name GASTROINTESTINAL ENDOSCOPY ASSOCIATES
Street STE 200 15005 SHADY GROVE ROAD
City ROCKVILLE
State MD
ZIP 20850
Phone 301 340-8099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Ambulatory Surgery Center
Lab Director NEIL JULIE

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