21D2155561 CLIA NUMBER - GOLDEN DAYS, LLC

Laboratory Demographics

  • CLIA Code: 21D2155561
  • Facility Name: GOLDEN DAYS, LLC
  • Facility Address: 6111 HIGHBRIDGE ROAD
    BOWIE, MD
    ZIP 20720
  • Facility Phone: 301 503-1490
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SHAVONNE M. SALAAM NP
  • NPI Number: 1326426958
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2155561
LAB Type Community Clinic
Facility Name GOLDEN DAYS, LLC
Street 6111 HIGHBRIDGE ROAD
City BOWIE
State MD
ZIP 20720
Phone 301 503-1490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Community Clinic
Lab Director SHAVONNE M. SALAAM NP

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