21D1028882 CLIA NUMBER - JSK CARE GROUP LLC T/A BELLA'S RESERVE

Laboratory Demographics

  • CLIA Code: 21D1028882
  • Facility Name: JSK CARE GROUP LLC T/A BELLA'S RESERVE
  • Facility Address: 2120 INDUSTRIAL PARKWAY
    SILVER SPRING, MD
    ZIP 20904
  • Facility Phone: 240 565-2388
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JOHN Y. KIM
  • NPI Number: 1568745438
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1028882
LAB Type Other
Facility Name JSK CARE GROUP LLC T/A BELLA'S RESERVE
Street 2120 INDUSTRIAL PARKWAY
City SILVER SPRING
State MD
ZIP 20904
Phone 240 565-2388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Other
Lab Director JOHN Y. KIM

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