21D2171813 CLIA NUMBER - VAS ADULT DAY CARE CENTER

Laboratory Demographics

CLIA Number: 21D2171813

Facility Name: VAS ADULT DAY CARE CENTER

Facility Address:
12621 OLD COLUMBIA PIKE
SILVER SPRING, MD
ZIP 20904
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Facility Phone Number: 301 646-5852

Facility Type: Other - ADULT DAYCARE CTR

Certificate Type: Waiver

NPI Number: 1487292678

Taxonomy: 261QA0600X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2171813
LAB Type	Other - ADULT DAYCARE CTR
Facility Name	VAS ADULT DAY CARE CENTER
Street	12621 OLD COLUMBIA PIKE
City	SILVER SPRING
State	MD
ZIP	20904
Phone	301 646-5852
CertificateType	4
CertificateEffectiveDate	9/10/2023
CertificateExpirationDate	9/9/2025
FacilityType	Waiver

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