21D1065371 CLIA NUMBER - CARROLL HOSPICE

Laboratory Demographics

  • CLIA Code: 21D1065371
  • Facility Name: CARROLL HOSPICE
  • Facility Address: 292 STONER AVENUE
    WESTMINSTER, MD
    ZIP 21157
  • Facility Phone: 410 871-8000
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: REGINA M. BODNAR
  • NPI Number: 1073104535
  • Taxonomy: 207QH0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1065371
LAB Type Hospice
Facility Name CARROLL HOSPICE
Street 292 STONER AVENUE
City WESTMINSTER
State MD
ZIP 21157
Phone 410 871-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospice
Lab Director REGINA M. BODNAR

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