21D2240797 CLIA NUMBER - NEIGHBORHOOD NURSE, LLC DBA NEIGHBORHOOD NP

Laboratory Demographics

  • CLIA Code: 21D2240797
  • Facility Name: NEIGHBORHOOD NURSE, LLC DBA NEIGHBORHOOD NP
  • Facility Address: 3421 GENTLE BREEZE DR
    UPPER MARLBORO, MD
    ZIP 20772
  • Facility Phone: 443 529-2027
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: TIMIKA S. GOODSON
  • NPI Number: 1609594704
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2240797
LAB Type Practitioner Other
Facility Name NEIGHBORHOOD NURSE, LLC DBA NEIGHBORHOOD NP
Street 3421 GENTLE BREEZE DR
City UPPER MARLBORO
State MD
ZIP 20772
Phone 443 529-2027
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Practitioner Other
Lab Director TIMIKA S. GOODSON

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