21D1103192 CLIA NUMBER - RODNEY L ELLIS MD PC

Laboratory Demographics

  • CLIA Code: 21D1103192
  • Facility Name: RODNEY L ELLIS MD PC
  • Facility Address: 9811 GREENBELT ROAD #104
    LANHAM, MD
    ZIP 20706
  • Facility Phone: 301 552-3953
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODNEY L. ELLIS
  • NPI Number: 1104986405
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D1103192
LAB Type Physician Office
Facility Name RODNEY L ELLIS MD PC
Street 9811 GREENBELT ROAD #104
City LANHAM
State MD
ZIP 20706
Phone 301 552-3953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Physician Office
Lab Director RODNEY L. ELLIS

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: 9/29/2025