21D2215029 CLIA NUMBER - LIGHTHOUSE CHRISTIAN ACADEMY

Laboratory Demographics

CLIA Number: 21D2215029

Facility Name: LIGHTHOUSE CHRISTIAN ACADEMY

Facility Address:
2020 BEDFORD ST
CUMBERLAND, MD
ZIP 21502
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Facility Phone Number: 301 777-7353

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1841547809

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	21D2215029
LAB Type	School/Student Health Service
Facility Name	LIGHTHOUSE CHRISTIAN ACADEMY
Street	2020 BEDFORD ST
City	CUMBERLAND
State	MD
ZIP	21502
Phone	301 777-7353
CertificateType	4
CertificateEffectiveDate	2/26/2023
CertificateExpirationDate	2/25/2025
FacilityType	Waiver

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