21D0884220 CLIA NUMBER - BROOKE GROVE REHAB & NURSING CENTER

Laboratory Demographics

  • CLIA Code: 21D0884220
  • Facility Name: BROOKE GROVE REHAB & NURSING CENTER
  • Facility Address: 18131 SLADE SCHOOL ROAD
    SANDY SPRING, MD
    ZIP 20860
  • Facility Phone: 301 924-5176
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. TED E. HOWE
  • NPI Number: 1750595518
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0884220
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROOKE GROVE REHAB & NURSING CENTER
Street 18131 SLADE SCHOOL ROAD
City SANDY SPRING
State MD
ZIP 20860
Phone 301 924-5176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. TED E. HOWE

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