21D2006850 CLIA NUMBER - MARSHAK MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 21D2006850
  • Facility Name: MARSHAK MEDICAL GROUP, LLC
  • Facility Address: 15200 SHADY GROVE ROAD #320
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 917-2185
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN P. MARSHAK
  • NPI Number: 1346561933
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2006850
LAB Type Physician Office
Facility Name MARSHAK MEDICAL GROUP, LLC
Street 15200 SHADY GROVE ROAD #320
City ROCKVILLE
State MD
ZIP 20850
Phone 301 917-2185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director STEVEN P. MARSHAK

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