21D0949140 CLIA NUMBER - EASTER SEALS ADULT DAY SERVICES - HAGERSTOWN

Laboratory Demographics

CLIA Number: 21D0949140

Facility Name: EASTER SEALS ADULT DAY SERVICES - HAGERSTOWN

Facility Address:
701 EAST FIRST STREET
HAGERSTOWN, MD
ZIP 21740
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Facility Phone Number: 301 745-3828

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1912179300

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D0949140
LAB Type	Other
Facility Name	EASTER SEALS ADULT DAY SERVICES - HAGERSTOWN
Street	701 EAST FIRST STREET
City	HAGERSTOWN
State	MD
ZIP	21740
Phone	301 745-3828
CertificateType	4
CertificateEffectiveDate	7/27/2022
CertificateExpirationDate	7/26/2024
FacilityType	Waiver

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