21D2233527 CLIA NUMBER - JADE HEALTH & WELLNESS LLC

Laboratory Demographics

CLIA Number: 21D2233527

Facility Name: JADE HEALTH & WELLNESS LLC

Facility Address:
9627 EAVES DRIVE
OWINGS MILLS, MD
ZIP 21117
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Facility Phone Number: (410) 929-3893

Facility Type: MOBILE LAB

Certificate Type: Waiver

NPI Number: 1902448335

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2233527
LAB Type	MOBILE LAB
Facility Name	JADE HEALTH & WELLNESS LLC
Street	9627 EAVES DRIVE
City	OWINGS MILLS
State	MD
ZIP	21117
Phone	(410) 929-3893

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This page was last updated on: 5/11/2023