21D2046847 CLIA NUMBER - RETINAL GROUP OF WASHINGTON, PLLC

Laboratory Demographics

  • CLIA Code: 21D2046847
  • Facility Name: RETINAL GROUP OF WASHINGTON, PLLC
  • Facility Address: 360 E PULASKI HIGHWAY STE 1
    ELKTON, MD
    ZIP 21921
  • Facility Phone: 301 474-4679
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EUGENE PROTZKO
  • NPI Number: 1114355377
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 21D2046847
LAB Type Physician Office
Facility Name RETINAL GROUP OF WASHINGTON, PLLC
Street 360 E PULASKI HIGHWAY STE 1
City ELKTON
State MD
ZIP 21921
Phone 301 474-4679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director DR. EUGENE PROTZKO

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