21D2079949 CLIA NUMBER - POTOMAC PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D2079949
  • Facility Name: POTOMAC PEDIATRICS
  • Facility Address: 15204 OMEGA DR STE 100
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 279-6750
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AMY KAPLAN
  • NPI Number: 1932456241
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 21D2079949
LAB Type Physician Office
Facility Name POTOMAC PEDIATRICS
Street 15204 OMEGA DR STE 100
City ROCKVILLE
State MD
ZIP 20850
Phone 301 279-6750
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director AMY KAPLAN

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