21D0717448 CLIA NUMBER - GINGER COVE

Laboratory Demographics

  • CLIA Code: 21D0717448
  • Facility Name: GINGER COVE
  • Facility Address: 4000 RIVER CRESCENT DRIVE
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 266-7300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NADER TAVAKOLI MD
  • NPI Number: 1407847247
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0717448
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GINGER COVE
Street 4000 RIVER CRESCENT DRIVE
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 266-7300
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 NADER TAVAKOLI MD

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