21D2315917 CLIA NUMBER - JIAO FENG CLINIC LLC

Laboratory Demographics

  • CLIA Code: 21D2315917
  • Facility Name: JIAO FENG CLINIC LLC
  • Facility Address: 932 HUNGERFORD DR #40A
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 655-8218
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JIAO FENG
  • NPI Number: 1326546912
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2315917
LAB Type Practitioner Other
Facility Name JIAO FENG CLINIC LLC
Street 932 HUNGERFORD DR #40A
City ROCKVILLE
State MD
ZIP 20850
Phone 301 655-8218
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Practitioner Other
Lab Director JIAO FENG

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