21D0720371 CLIA NUMBER - HOLY CROSS HOSP HOMECARE

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Laboratory Demographics

CLIA Number: 21D0720371

Facility Name: HOLY CROSS HOSP HOMECARE

Facility Address:
10720 COLUMBIA PIKE SUITE 300
SILVER SPRING, MD
ZIP 20901
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Facility Phone Number: 301 754-7740

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1578776431

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	21D0720371
LAB Type	Home Health Agency
Facility Name	HOLY CROSS HOSP HOMECARE
Street	10720 COLUMBIA PIKE SUITE 300
City	SILVER SPRING
State	MD
ZIP	20901
Phone	301 754-7740
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024