21D2167890 CLIA NUMBER - SPRING ARBOR OF CROFTON

Laboratory Demographics

  • CLIA Code: 21D2167890
  • Facility Name: SPRING ARBOR OF CROFTON
  • Facility Address: 1495 RIEDEL ROAD
    CROFTON, MD
    ZIP 21114
  • Facility Phone: 410 324-2790
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GINGER D. MARTIN
  • NPI Number: 1386394393
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2167890
LAB Type Assisted Living Facility
Facility Name SPRING ARBOR OF CROFTON
Street 1495 RIEDEL ROAD
City CROFTON
State MD
ZIP 21114
Phone 410 324-2790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Assisted Living Facility
Lab Director GINGER D. MARTIN

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