21D2005568 CLIA NUMBER - FIELDS AND FIELDS TREATMENT CENTER, LLC

Laboratory Demographics

  • CLIA Code: 21D2005568
  • Facility Name: FIELDS AND FIELDS TREATMENT CENTER, LLC
  • Facility Address: 1450 MERCANTILE LANE #221
    LARGO, MD
    ZIP 20774
  • Facility Phone: 240 788-6125
  • Facility Type: Other - OUTPATIENT TREATMENT
  • Facility Type: Waiver
  • Lab Director: RACHELLE LEVY
  • NPI Number: 1902275449
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2005568
LAB Type Other - OUTPATIENT TREATMENT
Facility Name FIELDS AND FIELDS TREATMENT CENTER, LLC
Street 1450 MERCANTILE LANE #221
City LARGO
State MD
ZIP 20774
Phone 240 788-6125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Other - OUTPATIENT TREATMENT
Lab Director RACHELLE LEVY

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