21D2164329 CLIA NUMBER - KENSINGTON AT HOME

Laboratory Demographics

  • CLIA Code: 21D2164329
  • Facility Name: KENSINGTON AT HOME
  • Facility Address: 3620 LITTLEDALE RD
    KENSINGTON, MD
    ZIP 20895
  • Facility Phone: 301 946-7700
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANDREW PANAGOS
  • NPI Number: 1639843006
  • Taxonomy: 231H00000X - Audiologist

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CLIA Record

Field Name Field Value
CLIA Number 21D2164329
LAB Type Home Health Agency
Facility Name KENSINGTON AT HOME
Street 3620 LITTLEDALE RD
City KENSINGTON
State MD
ZIP 20895
Phone 301 946-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Home Health Agency
Lab Director ANDREW PANAGOS

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