21D0649851 CLIA NUMBER - FREDERICK VILLA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 21D0649851
  • Facility Name: FREDERICK VILLA HEALTHCARE
  • Facility Address: 711 ACADEMY RD
    BALTIMORE, MD
    ZIP 21228
  • Facility Phone: 410 788-3300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NARENDER P. SINGH BHARAJ
  • NPI Number: 1467150037
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0649851
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FREDERICK VILLA HEALTHCARE
Street 711 ACADEMY RD
City BALTIMORE
State MD
ZIP 21228
Phone 410 788-3300
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 NARENDER P. SINGH BHARAJ

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