21D2201081 CLIA NUMBER - GERIATRIC CARE FACILITIES LLC/TA - ARBOR PLACE

Laboratory Demographics

  • CLIA Code: 21D2201081
  • Facility Name: GERIATRIC CARE FACILITIES LLC/TA - ARBOR PLACE
  • Facility Address: 4413 MUNCASTER MILL ROAD
    ROCKVILLE, MD
    ZIP 20853
  • Facility Phone: 240 832-8409
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. WALTER H. FANBURG
  • NPI Number: 1467626069
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 21D2201081
LAB Type Assisted Living Facility
Facility Name GERIATRIC CARE FACILITIES LLC/TA - ARBOR PLACE
Street 4413 MUNCASTER MILL ROAD
City ROCKVILLE
State MD
ZIP 20853
Phone 240 832-8409
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Assisted Living Facility
Lab Director DR. WALTER H. FANBURG

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