21D2093108 CLIA NUMBER - MADHAVI HUBBLY, MD, LLC

Laboratory Demographics

  • CLIA Code: 21D2093108
  • Facility Name: MADHAVI HUBBLY, MD, LLC
  • Facility Address: 12116 DARNESTOWN ROAD SUITE L5
    GAITHERSBURG, MD
    ZIP 20878
  • Facility Phone: 703 217-1496
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MADHAVI HUBBLY
  • NPI Number: 1669860128
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2093108
LAB Type Physician Office
Facility Name MADHAVI HUBBLY, MD, LLC
Street 12116 DARNESTOWN ROAD SUITE L5
City GAITHERSBURG
State MD
ZIP 20878
Phone 703 217-1496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director MADHAVI HUBBLY

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