21D0894864 CLIA NUMBER - RIDGEWAY REHAB CENTER

Laboratory Demographics

  • CLIA Code: 21D0894864
  • Facility Name: RIDGEWAY REHAB CENTER
  • Facility Address: 5743 EDMONDSON AVENUE
    BALTIMORE, MD
    ZIP 21228
  • Facility Phone: 410 727-5250
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. KAREN A. COUSINS
  • NPI Number: 1275074973
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D0894864
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIDGEWAY REHAB CENTER
Street 5743 EDMONDSON AVENUE
City BALTIMORE
State MD
ZIP 21228
Phone 410 727-5250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. KAREN A. COUSINS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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