21D2150604 CLIA NUMBER - SECOND CHANCE ADDICTION CARE

Laboratory Demographics

  • CLIA Code: 21D2150604
  • Facility Name: SECOND CHANCE ADDICTION CARE
  • Facility Address: 401 E JEFFERSON ST STE 203
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 983-5130
  • Facility Type: Other - SCREEN/URINE DRUG TESTING
  • Facility Type: Waiver
  • Lab Director: ANNE DALTON
  • NPI Number: 1952888505
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2150604
LAB Type Other - SCREEN/URINE DRUG TESTING
Facility Name SECOND CHANCE ADDICTION CARE
Street 401 E JEFFERSON ST STE 203
City ROCKVILLE
State MD
ZIP 20850
Phone 301 983-5130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Other - SCREEN/URINE DRUG TESTING
Lab Director ANNE DALTON

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