21D1080938 CLIA NUMBER - HOLLY HILL NSG LLC DBA HOLLY HILL NSG AND REHAB

Laboratory Demographics

  • CLIA Code: 21D1080938
  • Facility Name: HOLLY HILL NSG LLC DBA HOLLY HILL NSG AND REHAB
  • Facility Address: 531 STEVENSON LANE
    TOWSON, MD
    ZIP 21286
  • Facility Phone: 513 530-1808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KAREN E. COUSINS-BROWN
  • NPI Number: 1265436810
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D1080938
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOLLY HILL NSG LLC DBA HOLLY HILL NSG AND REHAB
Street 531 STEVENSON LANE
City TOWSON
State MD
ZIP 21286
Phone 513 530-1808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KAREN E. COUSINS-BROWN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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