21D0716327 CLIA NUMBER - ROLAND PARK PLACE HEALTH CARE CORP

Laboratory Demographics

  • CLIA Code: 21D0716327
  • Facility Name: ROLAND PARK PLACE HEALTH CARE CORP
  • Facility Address: 830 W 40TH STREET
    BALTIMORE, MD
    ZIP 21211
  • Facility Phone: 410 243-2284
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HILARY I. DON
  • NPI Number: 1659455681
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0716327
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROLAND PARK PLACE HEALTH CARE CORP
Street 830 W 40TH STREET
City BALTIMORE
State MD
ZIP 21211
Phone 410 243-2284
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 HILARY I. DON

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