21D2190993 CLIA NUMBER - COSMETIC SURGERY ASSOCIATES A FOREFRONT PRACTICE

Laboratory Demographics

  • CLIA Code: 21D2190993
  • Facility Name: COSMETIC SURGERY ASSOCIATES A FOREFRONT PRACTICE
  • Facility Address: 6430 ROCKLEDGE DR SUITE 100
    BETHESDA, MD
    ZIP 20817
  • Facility Phone: 301 493-4334
  • Facility Type: Other - COSMETIC SURGERY
  • Facility Type: Waiver
  • Lab Director: KESHAV MAGGE
  • NPI Number: 1659388841
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 21D2190993
LAB Type Other - COSMETIC SURGERY
Facility Name COSMETIC SURGERY ASSOCIATES A FOREFRONT PRACTICE
Street 6430 ROCKLEDGE DR SUITE 100
City BETHESDA
State MD
ZIP 20817
Phone 301 493-4334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Other - COSMETIC SURGERY
Lab Director KESHAV MAGGE

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This page was last updated on: 6/4/2025