21D0666153 CLIA NUMBER - FROSTBURG VILLAGE REHAB CENTER

Laboratory Demographics

  • CLIA Code: 21D0666153
  • Facility Name: FROSTBURG VILLAGE REHAB CENTER
  • Facility Address: 1 KAYLOR CIRCLE
    FROSTBURG, MD
    ZIP 21532
  • Facility Phone: 301 689-7500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. SUNIL GUPTA
  • NPI Number: 1265951800
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0666153
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FROSTBURG VILLAGE REHAB CENTER
Street 1 KAYLOR CIRCLE
City FROSTBURG
State MD
ZIP 21532
Phone 301 689-7500
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. SUNIL GUPTA

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