21D0884772 CLIA NUMBER - BROADMEAD

Laboratory Demographics

  • CLIA Code: 21D0884772
  • Facility Name: BROADMEAD
  • Facility Address: 13801 Y0RK ROAD
    COCKEYSVILLE, MD
    ZIP 21030
  • Facility Phone: 443 578-8000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BARBARA JEAN CARROLL MD
  • NPI Number: 1609859107
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0884772
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROADMEAD
Street 13801 Y0RK ROAD
City COCKEYSVILLE
State MD
ZIP 21030
Phone 443 578-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BARBARA JEAN CARROLL MD

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