21D2292380 CLIA NUMBER - INTERNATIONAL FAMILY MEDICINE INC

Laboratory Demographics

  • CLIA Code: 21D2292380
  • Facility Name: INTERNATIONAL FAMILY MEDICINE INC
  • Facility Address: 10901 CONNECTICUT AVE SUITE 300
    KENSINGTON, MD
    ZIP 20895
  • Facility Phone: 240 290-1041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE ORTEGA
  • NPI Number: 1669805719
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2292380
LAB Type Physician Office
Facility Name INTERNATIONAL FAMILY MEDICINE INC
Street 10901 CONNECTICUT AVE SUITE 300
City KENSINGTON
State MD
ZIP 20895
Phone 240 290-1041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Physician Office
Lab Director JOSE ORTEGA

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