21D2181693 CLIA NUMBER - INNA LONDON MD LLC

Laboratory Demographics

  • CLIA Code: 21D2181693
  • Facility Name: INNA LONDON MD LLC
  • Facility Address: 16220 FREDERICK RD SUITE 420
    GAITHERSBURG, MD
    ZIP 20877
  • Facility Phone: 301 330-3335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: INNA LONDON
  • NPI Number: 1376501346
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2181693
LAB Type Physician Office
Facility Name INNA LONDON MD LLC
Street 16220 FREDERICK RD SUITE 420
City GAITHERSBURG
State MD
ZIP 20877
Phone 301 330-3335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director INNA LONDON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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