21D0957194 CLIA NUMBER - CRESCENT CITIES CENTER

Laboratory Demographics

  • CLIA Code: 21D0957194
  • Facility Name: CRESCENT CITIES CENTER
  • Facility Address: 4409 EAST WEST HIGHWAY
    RIVERDALE, MD
    ZIP 20737
  • Facility Phone: 301 699-2000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KATHRYN D. KELLY
  • NPI Number: 1740759463
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0957194
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CRESCENT CITIES CENTER
Street 4409 EAST WEST HIGHWAY
City RIVERDALE
State MD
ZIP 20737
Phone 301 699-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KATHRYN D. KELLY

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