21D2255014 CLIA NUMBER - HEALTHY FOUNDATIONS, LLC

Laboratory Demographics

  • CLIA Code: 21D2255014
  • Facility Name: HEALTHY FOUNDATIONS, LLC
  • Facility Address: 4350 EAST WEST HWY, SUITE 200
    BETHESDA, MD
    ZIP 20814
  • Facility Phone: 301 970-4010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID DRIVER
  • NPI Number: 1215336706
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2255014
LAB Type Physician Office
Facility Name HEALTHY FOUNDATIONS, LLC
Street 4350 EAST WEST HWY, SUITE 200
City BETHESDA
State MD
ZIP 20814
Phone 301 970-4010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2024
Certificate Expiration Date 3/8/2026
Facility Type Physician Office
Lab Director DAVID DRIVER

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