21D2286257 CLIA NUMBER - SUN CLOUD HEALTH S C

Laboratory Demographics

  • CLIA Code: 21D2286257
  • Facility Name: SUN CLOUD HEALTH S C
  • Facility Address: 501 N FREDERICK AVE STE 308
    GAITHERSBURG, MD
    ZIP 20877
  • Facility Phone: 847 363-4917
  • Facility Type: Other - OUTPATIENT TX CTR
  • Facility Type: Waiver
  • Lab Director: ELEANOR ANNAN
  • NPI Number: 1386322501
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 21D2286257
LAB Type Other - OUTPATIENT TX CTR
Facility Name SUN CLOUD HEALTH S C
Street 501 N FREDERICK AVE STE 308
City GAITHERSBURG
State MD
ZIP 20877
Phone 847 363-4917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Other - OUTPATIENT TX CTR
Lab Director ELEANOR ANNAN

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