21D1053159 CLIA NUMBER - SUNRISE OF COLUMBIA

Laboratory Demographics

  • CLIA Code: 21D1053159
  • Facility Name: SUNRISE OF COLUMBIA
  • Facility Address: 6500 FREETOWN ROAD
    COLUMBIA, MD
    ZIP 21044
  • Facility Phone: 410 531-1444
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RAMANI NOKKU
  • NPI Number: 1932456977
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D1053159
LAB Type Assisted Living Facility
Facility Name SUNRISE OF COLUMBIA
Street 6500 FREETOWN ROAD
City COLUMBIA
State MD
ZIP 21044
Phone 410 531-1444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Assisted Living Facility
Lab Director RAMANI NOKKU

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