21D1066233 CLIA NUMBER - POTOMAC NEPHROLOGY INC

Laboratory Demographics

  • CLIA Code: 21D1066233
  • Facility Name: POTOMAC NEPHROLOGY INC
  • Facility Address: ONE EXECUTIVE PARK COURT
    GERMANTOWN, MD
    ZIP 20874
  • Facility Phone: 301 528-3580
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASSAR FARZAD
  • NPI Number: 1245242528
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D1066233
LAB Type Physician Office
Facility Name POTOMAC NEPHROLOGY INC
Street ONE EXECUTIVE PARK COURT
City GERMANTOWN
State MD
ZIP 20874
Phone 301 528-3580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director ASSAR FARZAD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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