21D0886362 CLIA NUMBER - SUMMIT PARK HEALTH AND REHABILITATION CENTER SSC CATONSVILLE OPERATING COMPANY

Laboratory Demographics

  • CLIA Code: 21D0886362
  • Facility Name: SUMMIT PARK HEALTH AND REHABILITATION CENTER SSC CATONSVILLE OPERATING COMPANY
  • Facility Address: 1502 FREDERICK ROAD
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 410 747-3287
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEEPAK BASKARAN MD
  • NPI Number: 1619098209
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0886362
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUMMIT PARK HEALTH AND REHABILITATION CENTER SSC CATONSVILLE OPERATING COMPANY
Street 1502 FREDERICK ROAD
City CATONSVILLE
State MD
ZIP 21228
Phone 410 747-3287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DEEPAK BASKARAN MD

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