21D2255206 CLIA NUMBER - CASA RUBEN INC

Laboratory Demographics

CLIA Number: 21D2255206

Facility Name: CASA RUBEN INC

Facility Address:
1700 ELTON ROAD SUITE 200
SILVER SPRING, MD
ZIP 20903
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Facility Phone Number: 301 445-2500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083332431

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	21D2255206
LAB Type	Physician Office
Facility Name	CASA RUBEN INC
Street	1700 ELTON ROAD SUITE 200
City	SILVER SPRING
State	MD
ZIP	20903
Phone	301 445-2500
CertificateType	4
CertificateEffectiveDate	3/11/2024
CertificateExpirationDate	3/10/2026
FacilityType	Waiver

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