21D2312257 CLIA NUMBER - MONTGOMERY RECOVERY SERVICES

Laboratory Demographics

  • CLIA Code: 21D2312257
  • Facility Name: MONTGOMERY RECOVERY SERVICES
  • Facility Address: 14636 ROTHGEB DRIVE
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: (301) 762-5300
  • Facility Type: Other - OPIOD TX PROGRAM
  • Facility Type: Waiver
  • Lab Director: JASON DAVID
  • NPI Number: 1922206325
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2312257
LAB Type Other - OPIOD TX PROGRAM
Facility Name MONTGOMERY RECOVERY SERVICES
Street 14636 ROTHGEB DRIVE
City ROCKVILLE
State MD
ZIP 20850
Phone 3017625300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Other - OPIOD TX PROGRAM
Lab Director JASON DAVID

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This page was last updated on: 6/29/2026