21D2119640 CLIA NUMBER - FREDERICK P SMITH, MD, PC, DIVISION OF RCCA

Laboratory Demographics

  • CLIA Code: 21D2119640
  • Facility Name: FREDERICK P SMITH, MD, PC, DIVISION OF RCCA
  • Facility Address: 5530 WISCONSIN AVENUE SUITE 1640
    CHEVY CHASE, MD
    ZIP 20815
  • Facility Phone: 301 657-4588
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANDREW P. BANNEN
  • NPI Number: 1730185935
  • Taxonomy: 207RX0202X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2119640
LAB Type Physician Office
Facility Name FREDERICK P SMITH, MD, PC, DIVISION OF RCCA
Street 5530 WISCONSIN AVENUE SUITE 1640
City CHEVY CHASE
State MD
ZIP 20815
Phone 301 657-4588
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director ANDREW P. BANNEN

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