21D2319983 CLIA NUMBER - ADAPTABLE HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 21D2319983
  • Facility Name: ADAPTABLE HEALTHCARE LLC
  • Facility Address: 184 THOMAS JOHNSON DR STE 202L
    FREDERICK, MD
    ZIP 21701
  • Facility Phone: 301 201-3181
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JACINTA ODURO
  • NPI Number: 1699595728
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2319983
LAB Type Practitioner Other
Facility Name ADAPTABLE HEALTHCARE LLC
Street 184 THOMAS JOHNSON DR STE 202L
City FREDERICK
State MD
ZIP 21701
Phone 301 201-3181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Practitioner Other
Lab Director JACINTA ODURO

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