21D0216943 CLIA NUMBER - PICKERSGILL

Laboratory Demographics

  • CLIA Code: 21D0216943
  • Facility Name: PICKERSGILL
  • Facility Address: 615 CHESTNUT AVE
    TOWSON, MD
    ZIP 21204
  • Facility Phone: 410 825-7423
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY ZIBELL
  • NPI Number: 1184716862
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0216943
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PICKERSGILL
Street 615 CHESTNUT AVE
City TOWSON
State MD
ZIP 21204
Phone 410 825-7423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. JEFFREY ZIBELL

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