21D2110975 CLIA NUMBER - JESSE SADIKMAN, MD LLC

Laboratory Demographics

  • CLIA Code: 21D2110975
  • Facility Name: JESSE SADIKMAN, MD LLC
  • Facility Address: 121 CONGRESSIONAL LANE #204
    ROCKVILLE, MD
    ZIP 20852
  • Facility Phone: 301 545-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSE C. SADIKMAN
  • NPI Number: 1962555797
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2110975
LAB Type Physician Office
Facility Name JESSE SADIKMAN, MD LLC
Street 121 CONGRESSIONAL LANE #204
City ROCKVILLE
State MD
ZIP 20852
Phone 301 545-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director JESSE C. SADIKMAN

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