21D2118380 CLIA NUMBER - OLNEY ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 21D2118380
  • Facility Name: OLNEY ENDOSCOPY CENTER
  • Facility Address: 3405 OLANDWOOD COURT SUITE 102
    OLNEY, MD
    ZIP 20832
  • Facility Phone: 301 570-8671
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. RUDRAJIT M. RAI MD
  • NPI Number: 1225490196
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2118380
LAB Type Ambulatory Surgery Center
Facility Name OLNEY ENDOSCOPY CENTER
Street 3405 OLANDWOOD COURT SUITE 102
City OLNEY
State MD
ZIP 20832
Phone 301 570-8671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. RUDRAJIT M. RAI MD

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