21D2237369 CLIA NUMBER - MEDSTAR HEALTH ENDOCRINOLOGY AT OLNEY

Laboratory Demographics

  • CLIA Code: 21D2237369
  • Facility Name: MEDSTAR HEALTH ENDOCRINOLOGY AT OLNEY
  • Facility Address: 18109 PRINCE PHILIP DR #B200
    OLNEY, MD
    ZIP 20832
  • Facility Phone: 301 774-4529
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MAUREEN D. PASSARO
  • NPI Number: 1023273653
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 21D2237369
LAB Type Physician Office
Facility Name MEDSTAR HEALTH ENDOCRINOLOGY AT OLNEY
Street 18109 PRINCE PHILIP DR #B200
City OLNEY
State MD
ZIP 20832
Phone 301 774-4529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director DR. MAUREEN D. PASSARO

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