21D2200996 CLIA NUMBER - SUNRISE OF SILVERSPRING

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Laboratory Demographics

CLIA Number: 21D2200996

Facility Name: SUNRISE OF SILVERSPRING

Facility Address:
11621 NEW HAMPSHIRE AVE
SILVER SPRING, MD
ZIP 20904
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Facility Phone Number: 301 625-8655

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1952439879

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	21D2200996
LAB Type	Assisted Living Facility
Facility Name	SUNRISE OF SILVERSPRING
Street	11621 NEW HAMPSHIRE AVE
City	SILVER SPRING
State	MD
ZIP	20904
Phone	301 625-8655
CertificateType	4
CertificateEffectiveDate	11/18/2022
CertificateExpirationDate	11/17/2024
FacilityType	Waiver

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