21D1097268 CLIA NUMBER - EASTER SEALS ADULT DAY SERVICES

Laboratory Demographics

CLIA Number: 21D1097268

Facility Name: EASTER SEALS ADULT DAY SERVICES

Facility Address:
1420 SPRING STREET
SILVER SPRING, MD
ZIP 20910
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Facility Phone Number: 301 588-8700

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1790921997

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 21D1097268
LAB Type Other
Facility Name EASTER SEALS ADULT DAY SERVICES
Street 1420 SPRING STREET
City SILVER SPRING
State MD
ZIP 20910
Phone 301 588-8700
CertificateType 4
CertificateEffectiveDate 9/5/2022
CertificateExpirationDate 9/4/2024
FacilityType Waiver

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