21D2087836 CLIA NUMBER - ADVENTIST BEHAVIORAL HEALTH - MANOR

Home > CLIA Lookup > 21D2087836

Laboratory Demographics

CLIA Number: 21D2087836

Facility Name: ADVENTIST BEHAVIORAL HEALTH - MANOR

Facility Address:
8301 BARRON STREET
FULTON, MD
ZIP 20759
Get Directions

Facility Phone Number: 301 251-4500

Facility Type: Other - BEHAVIORAL ASSISTED LIVIN

Certificate Type: Waiver

NPI Number: 1447529300

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	21D2087836
LAB Type	Other - BEHAVIORAL ASSISTED LIVIN
Facility Name	ADVENTIST BEHAVIORAL HEALTH - MANOR
Street	8301 BARRON STREET
City	FULTON
State	MD
ZIP	20759
Phone	301 251-4500
CertificateType	4
CertificateEffectiveDate	12/5/2022
CertificateExpirationDate	12/4/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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