21D0884387 CLIA NUMBER - DENNETT SNF LLC

Laboratory Demographics

  • CLIA Code: 21D0884387
  • Facility Name: DENNETT SNF LLC
  • Facility Address: 1113 MARY DRIVE
    OAKLAND, MD
    ZIP 21550
  • Facility Phone: 301 334-8700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. PAUL D. MILLER
  • NPI Number: 1588651996
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0884387
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DENNETT SNF LLC
Street 1113 MARY DRIVE
City OAKLAND
State MD
ZIP 21550
Phone 301 334-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. PAUL D. MILLER

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