21D0714642 CLIA NUMBER - NORTHAMPTON MANOR NURSING & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 21D0714642
  • Facility Name: NORTHAMPTON MANOR NURSING & REHABILITATION CENTER
  • Facility Address: 200 EAST 16TH STREET
    FREDERICK, MD
    ZIP 21701
  • Facility Phone: 301 662-8700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. JOSE G. MARTINEZ
  • NPI Number: 1942241815
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0714642
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHAMPTON MANOR NURSING & REHABILITATION CENTER
Street 200 EAST 16TH STREET
City FREDERICK
State MD
ZIP 21701
Phone 301 662-8700
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. JOSE G. MARTINEZ

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