21D0704734 CLIA NUMBER - LP CAMBRIDGE LLC DBA SIGNATURE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 21D0704734
  • Facility Name: LP CAMBRIDGE LLC DBA SIGNATURE HEALTHCARE
  • Facility Address: 520 GLENBURN AVENUE
    CAMBRIDGE, MD
    ZIP 21613
  • Facility Phone: 410 228-9191
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA A. JOHNSON
  • NPI Number: 1114118494
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0704734
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP CAMBRIDGE LLC DBA SIGNATURE HEALTHCARE
Street 520 GLENBURN AVENUE
City CAMBRIDGE
State MD
ZIP 21613
Phone 410 228-9191
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 PATRICIA A. JOHNSON

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