21D0884318 CLIA NUMBER - SOUTH MOUNTAIN REHAB CENTER

Laboratory Demographics

  • CLIA Code: 21D0884318
  • Facility Name: SOUTH MOUNTAIN REHAB CENTER
  • Facility Address: 141 S MAIN STREET
    BOONSBORO, MD
    ZIP 21713
  • Facility Phone: 301 432-5457
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANDRES SALAZAR
  • NPI Number: 1932628781
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D0884318
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTH MOUNTAIN REHAB CENTER
Street 141 S MAIN STREET
City BOONSBORO
State MD
ZIP 21713
Phone 301 432-5457
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANDRES SALAZAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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