21D2129924 CLIA NUMBER - TOTAL ACCESS PEDIATRIC URGENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 21D2129924
  • Facility Name: TOTAL ACCESS PEDIATRIC URGENT CARE, LLC
  • Facility Address: 9740 TRAVILLE GATEWAY DRIVE
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 240 750-0147
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANA A. ADU-AMANKWA
  • NPI Number: 1023555273
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2129924
LAB Type Physician Office
Facility Name TOTAL ACCESS PEDIATRIC URGENT CARE, LLC
Street 9740 TRAVILLE GATEWAY DRIVE
City ROCKVILLE
State MD
ZIP 20850
Phone 240 750-0147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director NANA A. ADU-AMANKWA

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