21D0719424 CLIA NUMBER - HAMMONDS LANE CENTER

Laboratory Demographics

  • CLIA Code: 21D0719424
  • Facility Name: HAMMONDS LANE CENTER
  • Facility Address: 613 HAMMONDS LANE
    BROOKLYN PARK, MD
    ZIP 21225
  • Facility Phone: 410 636-3400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAANA P. VIVIANO
  • NPI Number: 1871947259
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 21D0719424
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HAMMONDS LANE CENTER
Street 613 HAMMONDS LANE
City BROOKLYN PARK
State MD
ZIP 21225
Phone 410 636-3400
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 TAANA P. VIVIANO

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