21D1038649 CLIA NUMBER - LOVING HEART ADULT MEDICAL DAY CARE CTR

Laboratory Demographics

  • CLIA Code: 21D1038649
  • Facility Name: LOVING HEART ADULT MEDICAL DAY CARE CTR
  • Facility Address: 400B E GUDE DRIVE
    ROCKVILLE, MD
    ZIP 20855
  • Facility Phone: 301 990-1253
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LEE N. KI
  • NPI Number: 1396869723
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1038649
LAB Type Other
Facility Name LOVING HEART ADULT MEDICAL DAY CARE CTR
Street 400B E GUDE DRIVE
City ROCKVILLE
State MD
ZIP 20855
Phone 301 990-1253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Other
Lab Director LEE N. KI

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