21D2249077 CLIA NUMBER - DAVID CHARLES, MD PC

Laboratory Demographics

  • CLIA Code: 21D2249077
  • Facility Name: DAVID CHARLES, MD PC
  • Facility Address: 15200 SHADY GROVE ROAD #307
    ROCKVILLE, MD
    ZIP 20852
  • Facility Phone: 301 738-8846
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. CHARLES
  • NPI Number: 1487835179
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2249077
LAB Type Physician Office
Facility Name DAVID CHARLES, MD PC
Street 15200 SHADY GROVE ROAD #307
City ROCKVILLE
State MD
ZIP 20852
Phone 301 738-8846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director DAVID A. CHARLES

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