21D2043386 CLIA NUMBER - HIGHLAND ELEMENTARY SCHOOL BASED HEALTH CENTER

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Laboratory Demographics

CLIA Number: 21D2043386

Facility Name: HIGHLAND ELEMENTARY SCHOOL BASED HEALTH CENTER

Facility Address:
3100 MEDWAY STREET
SILVER SPRING, MD
ZIP 20902
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Facility Phone Number: 240 777-4492

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1215296173

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2043386
LAB Type	School/Student Health Service
Facility Name	HIGHLAND ELEMENTARY SCHOOL BASED HEALTH CENTER
Street	3100 MEDWAY STREET
City	SILVER SPRING
State	MD
ZIP	20902
Phone	240 777-4492
CertificateType	4
CertificateEffectiveDate	7/2/2022
CertificateExpirationDate	7/1/2024
FacilityType	Waiver

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