21D0883875 CLIA NUMBER - CARRIAGE HILL OPCO LLC

Laboratory Demographics

  • CLIA Code: 21D0883875
  • Facility Name: CARRIAGE HILL OPCO LLC
  • Facility Address: 5215 WEST CEDAR LANE
    BETHESDA, MD
    ZIP 20814
  • Facility Phone: 301 897-5500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRUONG BAO MD
  • NPI Number: 1457008245
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0883875
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARRIAGE HILL OPCO LLC
Street 5215 WEST CEDAR LANE
City BETHESDA
State MD
ZIP 20814
Phone 301 897-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TRUONG BAO MD

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