21D2156436 CLIA NUMBER - MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC

Laboratory Demographics

CLIA Number: 21D2156436

Facility Name: MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC

Facility Address:
344 UNIVERSITY BLVD WEST
SILVER SPRING, MD
ZIP 20901
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Facility Phone Number: 202 420-7125

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1174011563

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2156436
LAB Type	Federally Qualified Health Center
Facility Name	MARY'S CENTER FOR MATERNAL AND CHILD CARE, INC
Street	344 UNIVERSITY BLVD WEST
City	SILVER SPRING
State	MD
ZIP	20901
Phone	202 420-7125
CertificateType	3
CertificateEffectiveDate	10/18/2022
CertificateExpirationDate	10/17/2024
FacilityType	PPMP

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