21D2114422 CLIA NUMBER - METROPOLITAN GASTROENTEROLOGY GROUP, PC

Laboratory Demographics

  • CLIA Code: 21D2114422
  • Facility Name: METROPOLITAN GASTROENTEROLOGY GROUP, PC
  • Facility Address: 6100 EXECUTIVE BLVD SUITE 301
    ROCKVILLE, MD
    ZIP 20852
  • Facility Phone: 240 737-0085
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN KOFF
  • NPI Number: 1548449531
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2114422
LAB Type Physician Office
Facility Name METROPOLITAN GASTROENTEROLOGY GROUP, PC
Street 6100 EXECUTIVE BLVD SUITE 301
City ROCKVILLE
State MD
ZIP 20852
Phone 240 737-0085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Physician Office
Lab Director JONATHAN KOFF

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