21D0985636 CLIA NUMBER - ATRIUM VILLAGE - SENIOR LIFESTYLE

Laboratory Demographics

  • CLIA Code: 21D0985636
  • Facility Name: ATRIUM VILLAGE - SENIOR LIFESTYLE
  • Facility Address: 4730 ATRIUM COURT
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 410 363-0330
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KELLY C. BRUNSTETTER
  • NPI Number: 1902851827
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0985636
LAB Type Rural Health Clinic
Facility Name ATRIUM VILLAGE - SENIOR LIFESTYLE
Street 4730 ATRIUM COURT
City OWINGS MILLS
State MD
ZIP 21117
Phone 410 363-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Rural Health Clinic
Lab Director KELLY C. BRUNSTETTER

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