21D0674750 CLIA NUMBER - FUTURE CARE OLD COURT

Laboratory Demographics

  • CLIA Code: 21D0674750
  • Facility Name: FUTURE CARE OLD COURT
  • Facility Address: 5412 OLD COURT ROAD
    RANDALLSTOWN, MD
    ZIP 21133
  • Facility Phone: 410 922-3200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAMELA AUNG
  • NPI Number: 1922454891
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0674750
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FUTURE CARE OLD COURT
Street 5412 OLD COURT ROAD
City RANDALLSTOWN
State MD
ZIP 21133
Phone 410 922-3200
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 PAMELA AUNG

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