21D2289029 CLIA NUMBER - ROCK CREEK PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 21D2289029
  • Facility Name: ROCK CREEK PEDIATRICS LLC
  • Facility Address: 9715 MEDICAL CENTER DR SUITE 211
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 202 258-1025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN LANNI
  • NPI Number: 1073397485
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2289029
LAB Type Physician Office
Facility Name ROCK CREEK PEDIATRICS LLC
Street 9715 MEDICAL CENTER DR SUITE 211
City ROCKVILLE
State MD
ZIP 20850
Phone 202 258-1025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director KAREN LANNI

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