21D2058137 CLIA NUMBER - BUCKLEY'S RENEWAL CENTER

Laboratory Demographics

  • CLIA Code: 21D2058137
  • Facility Name: BUCKLEY'S RENEWAL CENTER
  • Facility Address: 4641 MONTGOMERY AVE SUITE 10
    BETHESDA, MD
    ZIP 20814
  • Facility Phone: 301 657-3033
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYA M. KARM
  • NPI Number: 1043636608
  • Taxonomy: 261QX0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2058137
LAB Type Physician Office
Facility Name BUCKLEY'S RENEWAL CENTER
Street 4641 MONTGOMERY AVE SUITE 10
City BETHESDA
State MD
ZIP 20814
Phone 301 657-3033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director LYA M. KARM

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