21D0895005 CLIA NUMBER - CRESCENT RIDGE ADULT DAY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 21D0895005
  • Facility Name: CRESCENT RIDGE ADULT DAY HEALTH CENTER
  • Facility Address: 7001 OXON HILL ROAD
    OXON HILL, MD
    ZIP 20745
  • Facility Phone: 301 638-0502
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PHILIP WISOTSKY
  • NPI Number: 1063531994
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0895005
LAB Type Other
Facility Name CRESCENT RIDGE ADULT DAY HEALTH CENTER
Street 7001 OXON HILL ROAD
City OXON HILL
State MD
ZIP 20745
Phone 301 638-0502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Other
Lab Director PHILIP WISOTSKY

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