21D2001981 CLIA NUMBER - SNH MD TENANT LLC DBA HEARTLANDS AT ELLICOTT CITY

Laboratory Demographics

  • CLIA Code: 21D2001981
  • Facility Name: SNH MD TENANT LLC DBA HEARTLANDS AT ELLICOTT CITY
  • Facility Address: 3004 NORTH RIDGE ROAD
    ELLICOTT CITY, MD
    ZIP 21043
  • Facility Phone: 410 461-9494
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANDREW LAZRIS
  • NPI Number: 1851948822
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2001981
LAB Type Assisted Living Facility
Facility Name SNH MD TENANT LLC DBA HEARTLANDS AT ELLICOTT CITY
Street 3004 NORTH RIDGE ROAD
City ELLICOTT CITY
State MD
ZIP 21043
Phone 410 461-9494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Assisted Living Facility
Lab Director ANDREW LAZRIS

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