21D0649882 CLIA NUMBER - GOODWILL RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 21D0649882
  • Facility Name: GOODWILL RETIREMENT COMMUNITY
  • Facility Address: 891 DORSEY HOTEL ROAD
    GRANTSVILLE, MD
    ZIP 21536
  • Facility Phone: 301 895-5194
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MUHAMMAD NAEEM MD
  • NPI Number: 1720025489
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0649882
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOODWILL RETIREMENT COMMUNITY
Street 891 DORSEY HOTEL ROAD
City GRANTSVILLE
State MD
ZIP 21536
Phone 301 895-5194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MUHAMMAD NAEEM MD

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