21D2124367 CLIA NUMBER - BRIGHTVIEW SEVERNA PARK, LLC

Laboratory Demographics

  • CLIA Code: 21D2124367
  • Facility Name: BRIGHTVIEW SEVERNA PARK, LLC
  • Facility Address: 469 JUMPERS HOLE ROAD
    SEVERNA PARK, MD
    ZIP 21146
  • Facility Phone: 410 544-1605
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NANCY MAINA
  • NPI Number: 1356791941
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2124367
LAB Type Assisted Living Facility
Facility Name BRIGHTVIEW SEVERNA PARK, LLC
Street 469 JUMPERS HOLE ROAD
City SEVERNA PARK
State MD
ZIP 21146
Phone 410 544-1605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Assisted Living Facility
Lab Director NANCY MAINA

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