21D0213393 CLIA NUMBER - MONTCARE AT WHEATON

Laboratory Demographics

  • CLIA Code: 21D0213393
  • Facility Name: MONTCARE AT WHEATON
  • Facility Address: 11901 GEORGIA AVE
    WHEATON, MD
    ZIP 20902
  • Facility Phone: 301 942-2500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARILYN VEMURY
  • NPI Number: 1699722256
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0213393
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MONTCARE AT WHEATON
Street 11901 GEORGIA AVE
City WHEATON
State MD
ZIP 20902
Phone 301 942-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. MARILYN VEMURY

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