21D2018820 CLIA NUMBER - WASHINGTON RADIOLOGY ASSOCIATES CHEVY CHASE

Laboratory Demographics

  • CLIA Code: 21D2018820
  • Facility Name: WASHINGTON RADIOLOGY ASSOCIATES CHEVY CHASE
  • Facility Address: 4445 WILLARD AVE STE 200
    CHEVY CHASE, MD
    ZIP 20815
  • Facility Phone: 301 654-4242
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. IAN M. LANDE
  • NPI Number: 1275724700
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D2018820
LAB Type Practitioner Other
Facility Name WASHINGTON RADIOLOGY ASSOCIATES CHEVY CHASE
Street 4445 WILLARD AVE STE 200
City CHEVY CHASE
State MD
ZIP 20815
Phone 301 654-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Practitioner Other
Lab Director DR. IAN M. LANDE

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