21D2283814 CLIA NUMBER - SUNSTONE MEDICAL PC

Laboratory Demographics

  • CLIA Code: 21D2283814
  • Facility Name: SUNSTONE MEDICAL PC
  • Facility Address: 9905 MEDICAL CENTER DRIVE SUITE 350
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 790-3401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MANISH AGRAWAL
  • NPI Number: 1548915218
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2283814
LAB Type Physician Office
Facility Name SUNSTONE MEDICAL PC
Street 9905 MEDICAL CENTER DRIVE SUITE 350
City ROCKVILLE
State MD
ZIP 20850
Phone 301 790-3401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Physician Office
Lab Director MANISH AGRAWAL

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