21D2103574 CLIA NUMBER - PYRAMID WALDEN LLC

Laboratory Demographics

  • CLIA Code: 21D2103574
  • Facility Name: PYRAMID WALDEN LLC
  • Facility Address: 30007 BUSINESS CENTER DR
    CHARLOTTE HALL, MD
    ZIP 20622
  • Facility Phone: 301 997-1300
  • Facility Type: Other - SUB ABUSE TREAT FACILITY
  • Facility Type: Waiver
  • Lab Director: DR. ANIKA A. ALVANZO
  • NPI Number: 1235776618
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2103574
LAB Type Other - SUB ABUSE TREAT FACILITY
Facility Name PYRAMID WALDEN LLC
Street 30007 BUSINESS CENTER DR
City CHARLOTTE HALL
State MD
ZIP 20622
Phone 301 997-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type Other - SUB ABUSE TREAT FACILITY
Lab Director DR. ANIKA A. ALVANZO

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