21D2029565 CLIA NUMBER - ADH INC, DBA LONG LIFE

Laboratory Demographics

  • CLIA Code: 21D2029565
  • Facility Name: ADH INC, DBA LONG LIFE
  • Facility Address: 9075 GUILFORD ROAD STE C1
    COLUMBIA, MD
    ZIP 21046
  • Facility Phone: 443 276-3088
  • Facility Type: Other - MEDICAL ADULT CTR
  • Facility Type: Waiver
  • Lab Director: DR. RADMILA BOZIC
  • NPI Number: 1699443655
  • Taxonomy: 106S00000X - Behavior Technician

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CLIA Record

Field Name Field Value
CLIA Number 21D2029565
LAB Type Other - MEDICAL ADULT CTR
Facility Name ADH INC, DBA LONG LIFE
Street 9075 GUILFORD ROAD STE C1
City COLUMBIA
State MD
ZIP 21046
Phone 443 276-3088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Other - MEDICAL ADULT CTR
Lab Director DR. RADMILA BOZIC

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