21D0890082 CLIA NUMBER - CHESAPEAKE SHORES NURSING CENTER

Laboratory Demographics

  • CLIA Code: 21D0890082
  • Facility Name: CHESAPEAKE SHORES NURSING CENTER
  • Facility Address: 21412 GREAT MILLS RD
    LEXINGTON PARK, MD
    ZIP 20653
  • Facility Phone: 301 863-7244
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. SHAHANA KARIM
  • NPI Number: 1932629607
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0890082
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHESAPEAKE SHORES NURSING CENTER
Street 21412 GREAT MILLS RD
City LEXINGTON PARK
State MD
ZIP 20653
Phone 301 863-7244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. SHAHANA KARIM

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