21D2126585 CLIA NUMBER - ADVANCED ADULT DAY CARE LLC

Laboratory Demographics

CLIA Number: 21D2126585

Facility Name: ADVANCED ADULT DAY CARE LLC

Facility Address:
3 EASTER COURT, SUITE B
OWINGS MILLS, MD
ZIP 21117
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Facility Phone Number: 410 580-2040

Facility Type: Other - ADULT MEDICAL DAY CARE

Certificate Type: Waiver

NPI Number: 1235308479

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2126585
LAB Type	Other - ADULT MEDICAL DAY CARE
Facility Name	ADVANCED ADULT DAY CARE LLC
Street	3 EASTER COURT, SUITE B
City	OWINGS MILLS
State	MD
ZIP	21117
Phone	410 580-2040
CertificateType	4
CertificateEffectiveDate	3/1/2023
CertificateExpirationDate	2/28/2025
FacilityType	Waiver

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