21D2179894 CLIA NUMBER - CITADEL CAREGIVERS INC

Laboratory Demographics

  • CLIA Code: 21D2179894
  • Facility Name: CITADEL CAREGIVERS INC
  • Facility Address: 10510 BROADLEAF DRIVE
    UPPER MARLBORO, MD
    ZIP 20774
  • Facility Phone: 240 584-4044
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SUNNY DIFFANG
  • NPI Number: 1407314750
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 21D2179894
LAB Type Home Health Agency
Facility Name CITADEL CAREGIVERS INC
Street 10510 BROADLEAF DRIVE
City UPPER MARLBORO
State MD
ZIP 20774
Phone 240 584-4044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Home Health Agency
Lab Director SUNNY DIFFANG

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