21D0703872 CLIA NUMBER - CHARLESTOWN CARE CENTER

Laboratory Demographics

  • CLIA Code: 21D0703872
  • Facility Name: CHARLESTOWN CARE CENTER
  • Facility Address: 709 MAIDEN CHOICE LANE
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: (410) 247-9700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MYLA CARPENTER MD
  • NPI Number: 1417033259
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 21D0703872
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHARLESTOWN CARE CENTER
Street 709 MAIDEN CHOICE LANE
City CATONSVILLE
State MD
ZIP 21228
Phone 4102479700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2025
Certificate Expiration Date 12/12/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MYLA CARPENTER MD

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This page was last updated on: 5/18/2026