21D2301411 CLIA NUMBER - AUTUMN HEALTH INC DBA INTERIM HEALTHCARE

Laboratory Demographics

  • CLIA Code: 21D2301411
  • Facility Name: AUTUMN HEALTH INC DBA INTERIM HEALTHCARE
  • Facility Address: 201 RUSSELL AVE
    GAITHERSBURG, MD
    ZIP 20877
  • Facility Phone: 240 753-6100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SANDRA PIERRE-LOUIS
  • NPI Number: 1821471186
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 21D2301411
LAB Type Home Health Agency
Facility Name AUTUMN HEALTH INC DBA INTERIM HEALTHCARE
Street 201 RUSSELL AVE
City GAITHERSBURG
State MD
ZIP 20877
Phone 240 753-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Home Health Agency
Lab Director SANDRA PIERRE-LOUIS

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