21D2109438 CLIA NUMBER - DR JALLI MD

Laboratory Demographics

  • CLIA Code: 21D2109438
  • Facility Name: DR JALLI MD
  • Facility Address: 2401 RESEARCH BLVD SUITE 330
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 686-8554
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JALLI SIREESHA
  • NPI Number: 1598121923
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2109438
LAB Type Physician Office
Facility Name DR JALLI MD
Street 2401 RESEARCH BLVD SUITE 330
City ROCKVILLE
State MD
ZIP 20850
Phone 301 686-8554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type Physician Office
Lab Director JALLI SIREESHA

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