21D2220770 CLIA NUMBER - POTOMAC UROLOGY CENTER

Laboratory Demographics

  • CLIA Code: 21D2220770
  • Facility Name: POTOMAC UROLOGY CENTER
  • Facility Address: 251 NATIONAL HARBOR BLVD #400-A
    OXON HILL, MD
    ZIP 20745
  • Facility Phone: 703 680-2111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PRATIK S. DESAI
  • NPI Number: 1285212233
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 21D2220770
LAB Type Physician Office
Facility Name POTOMAC UROLOGY CENTER
Street 251 NATIONAL HARBOR BLVD #400-A
City OXON HILL
State MD
ZIP 20745
Phone 703 680-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director DR. PRATIK S. DESAI

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