21D0952116 CLIA NUMBER - DUAL LEASING CO LLC DBA HAGERSTOWN HEALTHCARE CTR

Laboratory Demographics

  • CLIA Code: 21D0952116
  • Facility Name: DUAL LEASING CO LLC DBA HAGERSTOWN HEALTHCARE CTR
  • Facility Address: 750 DUAL HIGHWAY
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 513 530-1808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ADDISU TEMESGEN
  • NPI Number: 1285175778
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0952116
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DUAL LEASING CO LLC DBA HAGERSTOWN HEALTHCARE CTR
Street 750 DUAL HIGHWAY
City HAGERSTOWN
State MD
ZIP 21740
Phone 513 530-1808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ADDISU TEMESGEN

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