21D2237877 CLIA NUMBER - GOLD PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 21D2237877
  • Facility Name: GOLD PEDIATRICS LLC
  • Facility Address: 15005 SHADY GROVE RD #450
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 517-9710
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERROL K. DOUGLAS
  • NPI Number: 1316527658
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2237877
LAB Type Physician Office
Facility Name GOLD PEDIATRICS LLC
Street 15005 SHADY GROVE RD #450
City ROCKVILLE
State MD
ZIP 20850
Phone 301 517-9710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director DR. ERROL K. DOUGLAS

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