21D0976366 CLIA NUMBER - BROOK LANE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 21D0976366
  • Facility Name: BROOK LANE HEALTH SERVICES
  • Facility Address: 13215 BROOK LANE
    HAGERSTOWN, MD
    ZIP 21742
  • Facility Phone: 301 733-0330
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: KAREN FORSYTH
  • NPI Number: 1538657630
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0976366
LAB Type Hospital
Facility Name BROOK LANE HEALTH SERVICES
Street 13215 BROOK LANE
City HAGERSTOWN
State MD
ZIP 21742
Phone 301 733-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Hospital
Lab Director KAREN FORSYTH

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