21D0891494 CLIA NUMBER - CITIZENS NH OF FREDERICK CITY DBA CITIZEN CARE AND REHAB OF FREDERICK

Laboratory Demographics

  • CLIA Code: 21D0891494
  • Facility Name: CITIZENS NH OF FREDERICK CITY DBA CITIZEN CARE AND REHAB OF FREDERICK
  • Facility Address: 814 TOLL HOUSE AVE
    FREDERICK, MD
    ZIP 21701
  • Facility Phone: 240 772-9200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. SIBTE A. KAZMI
  • NPI Number: 1144217423
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0891494
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CITIZENS NH OF FREDERICK CITY DBA CITIZEN CARE AND REHAB OF FREDERICK
Street 814 TOLL HOUSE AVE
City FREDERICK
State MD
ZIP 21701
Phone 240 772-9200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. SIBTE A. KAZMI

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