21D2259504 CLIA NUMBER - POTOMAC OB GYN LLC

Laboratory Demographics

  • CLIA Code: 21D2259504
  • Facility Name: POTOMAC OB GYN LLC
  • Facility Address: 10110 MOLECULAR DR SUITE 209
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 654-2275
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LESLIE MASIKY
  • NPI Number: 1144977372
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 21D2259504
LAB Type Physician Office
Facility Name POTOMAC OB GYN LLC
Street 10110 MOLECULAR DR SUITE 209
City ROCKVILLE
State MD
ZIP 20850
Phone 301 654-2275
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director LESLIE MASIKY

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