21D2189854 CLIA NUMBER - SCOTT D WISSMAN MD MPH PC DBA WONDER YEARS PEDIAT

Laboratory Demographics

  • CLIA Code: 21D2189854
  • Facility Name: SCOTT D WISSMAN MD MPH PC DBA WONDER YEARS PEDIAT
  • Facility Address: 9601 BLACKWELL RD SUITE 300
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 563-9333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT WISSMAN
  • NPI Number: 1326013087
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2189854
LAB Type Physician Office
Facility Name SCOTT D WISSMAN MD MPH PC DBA WONDER YEARS PEDIAT
Street 9601 BLACKWELL RD SUITE 300
City ROCKVILLE
State MD
ZIP 20850
Phone 301 563-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director SCOTT WISSMAN

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