21D2031403 CLIA NUMBER - WALDORF WOMEN'S CARE

Laboratory Demographics

  • CLIA Code: 21D2031403
  • Facility Name: WALDORF WOMEN'S CARE
  • Facility Address: 4470 REGENCY PL #106
    WHITE PLAINS, MD
    ZIP 20695
  • Facility Phone: 240 252-2140
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ARYIAN L. COOKE
  • NPI Number: 1073806089
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2031403
LAB Type Physician Office
Facility Name WALDORF WOMEN'S CARE
Street 4470 REGENCY PL #106
City WHITE PLAINS
State MD
ZIP 20695
Phone 240 252-2140
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Physician Office
Lab Director DR. ARYIAN L. COOKE

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