21D1057351 CLIA NUMBER - ADVENTIST HEALTHCARE GERMANTOWN EMERGENCY CTR PHY

Laboratory Demographics

  • CLIA Code: 21D1057351
  • Facility Name: ADVENTIST HEALTHCARE GERMANTOWN EMERGENCY CTR PHY
  • Facility Address: 19731 GERMANTOWN ROAD
    GERMANTOWN, MD
    ZIP 20874
  • Facility Phone: 240 826-6553
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: NICOLE VETERE
  • NPI Number: 1063105823
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 21D1057351
LAB Type Hospital
Facility Name ADVENTIST HEALTHCARE GERMANTOWN EMERGENCY CTR PHY
Street 19731 GERMANTOWN ROAD
City GERMANTOWN
State MD
ZIP 20874
Phone 240 826-6553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Hospital
Lab Director NICOLE VETERE

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