21D0702444 CLIA NUMBER - ADVENTIST HOME HEALTH

Laboratory Demographics

  • CLIA Code: 21D0702444
  • Facility Name: ADVENTIST HOME HEALTH
  • Facility Address: 12041 BOURNEFIELD WAY STE B
    SILVER SPRING, MD
    ZIP 20904
  • Facility Phone: 301 592-4400
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHAMA R. MITTAL
  • NPI Number: 1598826448
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 21D0702444
LAB Type Home Health Agency
Facility Name ADVENTIST HOME HEALTH
Street 12041 BOURNEFIELD WAY STE B
City SILVER SPRING
State MD
ZIP 20904
Phone 301 592-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Home Health Agency
Lab Director SHAMA R. MITTAL

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This page was last updated on: 6/4/2025