21D1009390 CLIA NUMBER - FUTURECARE/ CHARLES VILLAGE

Laboratory Demographics

  • CLIA Code: 21D1009390
  • Facility Name: FUTURECARE/ CHARLES VILLAGE
  • Facility Address: 2327 NORTH CHARLES STREET
    BALTIMORE, MD
    ZIP 21218
  • Facility Phone: 410 766-1995
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHINTAN DESAI
  • NPI Number: 1972785004
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D1009390
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FUTURECARE/ CHARLES VILLAGE
Street 2327 NORTH CHARLES STREET
City BALTIMORE
State MD
ZIP 21218
Phone 410 766-1995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHINTAN DESAI

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