21D2255206 CLIA NUMBER - CASA RUBEN INC

Laboratory Demographics

  • CLIA Code: 21D2255206
  • Facility Name: CASA RUBEN INC
  • Facility Address: 1700 ELTON ROAD SUITE 200
    SILVER SPRING, MD
    ZIP 20903
  • Facility Phone: 301 445-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LIGIA PERALTA
  • NPI Number: 1083332431
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director LIGIA PERALTA

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