21D0993981 CLIA NUMBER - MONTGOMERY HOSPICE

Laboratory Demographics

  • CLIA Code: 21D0993981
  • Facility Name: MONTGOMERY HOSPICE
  • Facility Address: 6001 MUNCASTER MILL RD
    ROCKVILLE, MD
    ZIP 20855
  • Facility Phone: 301 921-4400
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. GEOFFREY COLEMAN
  • NPI Number: 1316909203
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 21D0993981
LAB Type Hospice
Facility Name MONTGOMERY HOSPICE
Street 6001 MUNCASTER MILL RD
City ROCKVILLE
State MD
ZIP 20855
Phone 301 921-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Hospice
Lab Director DR. GEOFFREY COLEMAN

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