21D1037676 CLIA NUMBER - MIDATLANTIC EPILEPSY AND SLEEP CENTER

Laboratory Demographics

  • CLIA Code: 21D1037676
  • Facility Name: MIDATLANTIC EPILEPSY AND SLEEP CENTER
  • Facility Address: 6410 ROCKLEDGE DR STE 610
    BETHESDA, MD
    ZIP 20817
  • Facility Phone: 301 530-9744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAVEL KLEIN MD
  • NPI Number: 1740587435
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 21D1037676
LAB Type Physician Office
Facility Name MIDATLANTIC EPILEPSY AND SLEEP CENTER
Street 6410 ROCKLEDGE DR STE 610
City BETHESDA
State MD
ZIP 20817
Phone 301 530-9744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director PAVEL KLEIN MD

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