21D2254734 CLIA NUMBER - GRAY FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 21D2254734

Facility Name: GRAY FAMILY MEDICINE

Facility Address:
10401 OLD GEORGETOWN ROAD, SUITE 304
BETHESDA, MD
ZIP 20814
Get Directions

Facility Phone Number: 301 843-8008

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588339428

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	21D2254734
LAB Type	Physician Office
Facility Name	GRAY FAMILY MEDICINE
Street	10401 OLD GEORGETOWN ROAD, SUITE 304
City	BETHESDA
State	MD
ZIP	20814
Phone	301 843-8008
CertificateType	4
CertificateEffectiveDate	3/7/2024
CertificateExpirationDate	3/6/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024