21D0980325 CLIA NUMBER - FORT WASHINGTON HEALTH & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 21D0980325
  • Facility Name: FORT WASHINGTON HEALTH & REHABILITATION CENTER
  • Facility Address: 12021 LIVINGSTON ROAD
    FORT WASHINGTON, MD
    ZIP 20744
  • Facility Phone: 301 292-0300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MITUL N. DAVE
  • NPI Number: 1669659884
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0980325
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FORT WASHINGTON HEALTH & REHABILITATION CENTER
Street 12021 LIVINGSTON ROAD
City FORT WASHINGTON
State MD
ZIP 20744
Phone 301 292-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MITUL N. DAVE

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