21D1020366 CLIA NUMBER - ADVENTIST HEALTHCARE SHADY GROVE MEDICAL

Laboratory Demographics

  • CLIA Code: 21D1020366
  • Facility Name: ADVENTIST HEALTHCARE SHADY GROVE MEDICAL
  • Facility Address: 9901 MEDICAL CENTER DR
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 240 826-6094
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. SENDA BELTAIFA
  • NPI Number: 1609007095
  • Taxonomy: 103G00000X - Clinical Neuropsychologist

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CLIA Record

Field Name Field Value
CLIA Number 21D1020366
LAB Type Hospital
Facility Name ADVENTIST HEALTHCARE SHADY GROVE MEDICAL
Street 9901 MEDICAL CENTER DR
City ROCKVILLE
State MD
ZIP 20850
Phone 240 826-6094
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Hospital
Lab Director DR. SENDA BELTAIFA

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