21D1105315 CLIA NUMBER - MARYLAND UROGYNECOLOGY LLP

Laboratory Demographics

CLIA Number: 21D1105315

Facility Name: MARYLAND UROGYNECOLOGY LLP

Facility Address:
9707 MEDICAL CENTER DR STE 220
ROCKVILLE, MD
ZIP 20850
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Facility Phone Number: 240 654-4683

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1083842124

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	21D1105315
LAB Type	Physician Office
Facility Name	MARYLAND UROGYNECOLOGY LLP
Street	9707 MEDICAL CENTER DR STE 220
City	ROCKVILLE
State	MD
ZIP	20850
Phone	240 654-4683
CertificateType	3
CertificateEffectiveDate	9/22/2023
CertificateExpirationDate	9/21/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024