21D2171795 CLIA NUMBER - XPRESS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D2171795
  • Facility Name: XPRESS PEDIATRICS
  • Facility Address: 3750 UNIVERSITY BLVD W SUITE 101
    KENSINGTON, MD
    ZIP 20895
  • Facility Phone: 240 616-1616
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: RAJENDER K. GATTU
  • NPI Number: 1649804808
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2171795
LAB Type Other - URGENT CARE
Facility Name XPRESS PEDIATRICS
Street 3750 UNIVERSITY BLVD W SUITE 101
City KENSINGTON
State MD
ZIP 20895
Phone 240 616-1616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Other - URGENT CARE
Lab Director RAJENDER K. GATTU

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