21D2291562 CLIA NUMBER - ESSENTIAL CARE CLINIC LLC

Laboratory Demographics

  • CLIA Code: 21D2291562
  • Facility Name: ESSENTIAL CARE CLINIC LLC
  • Facility Address: 6507 OLD BRANCH AVE
    TEMPLE HILLS, MD
    ZIP 20748
  • Facility Phone: 240 247-0791
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DAWN SALDANO
  • NPI Number: 1568157212
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2291562
LAB Type Practitioner Other
Facility Name ESSENTIAL CARE CLINIC LLC
Street 6507 OLD BRANCH AVE
City TEMPLE HILLS
State MD
ZIP 20748
Phone 240 247-0791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Practitioner Other
Lab Director DAWN SALDANO

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