21D1005166 CLIA NUMBER - EHWC RIDERWOOD VILLAGE

Laboratory Demographics

CLIA Number: 21D1005166

Facility Name: EHWC RIDERWOOD VILLAGE

Facility Address:
3160 GRACEFIELD RD
SILVER SPRING, MD
ZIP 20904
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Facility Phone Number: 301 572-8100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235143124

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	21D1005166
LAB Type	Physician Office
Facility Name	EHWC RIDERWOOD VILLAGE
Street	3160 GRACEFIELD RD
City	SILVER SPRING
State	MD
ZIP	20904
Phone	301 572-8100
CertificateType	4
CertificateEffectiveDate	10/16/2022
CertificateExpirationDate	10/15/2024
FacilityType	Waiver

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