21D2165872 CLIA NUMBER - GERMANTOWN ALLERGY AND ASTHMA

Laboratory Demographics

  • CLIA Code: 21D2165872
  • Facility Name: GERMANTOWN ALLERGY AND ASTHMA
  • Facility Address: 19851 OBSERVATION DR SUITE 375
    GERMANTOWN, MD
    ZIP 20876
  • Facility Phone: 301 972-3709
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEON W. KAO
  • NPI Number: 1245212489
  • Taxonomy: 2251X0800X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 21D2165872
LAB Type Physician Office
Facility Name GERMANTOWN ALLERGY AND ASTHMA
Street 19851 OBSERVATION DR SUITE 375
City GERMANTOWN
State MD
ZIP 20876
Phone 301 972-3709
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Physician Office
Lab Director LEON W. KAO

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