21D2219660 CLIA NUMBER - ALBENIZ CARE AGENCY LLC

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Laboratory Demographics

CLIA Number: 21D2219660

Facility Name: ALBENIZ CARE AGENCY LLC

Facility Address:
2002 TUSCARORA VALLEY COURT
FREDERICK, MD
ZIP 21702
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Facility Phone Number: 301 970-3313

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1548869696

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	21D2219660
LAB Type	Home Health Agency
Facility Name	ALBENIZ CARE AGENCY LLC
Street	2002 TUSCARORA VALLEY COURT
City	FREDERICK
State	MD
ZIP	21702
Phone	301 970-3313
CertificateType	4
CertificateEffectiveDate	4/7/2023
CertificateExpirationDate	4/6/2025
FacilityType	Waiver

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