21D2170200 CLIA NUMBER - DIRECT HOME NURTURING LLC

Laboratory Demographics

  • CLIA Code: 21D2170200
  • Facility Name: DIRECT HOME NURTURING LLC
  • Facility Address: 7720 NICOLE GRACE DRIVE
    NOTTINGHAM, MD
    ZIP 21236
  • Facility Phone: 410 661-5175
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BARBARA O. BOATENG
  • NPI Number: 1396247888
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 21D2170200
LAB Type Home Health Agency
Facility Name DIRECT HOME NURTURING LLC
Street 7720 NICOLE GRACE DRIVE
City NOTTINGHAM
State MD
ZIP 21236
Phone 410 661-5175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Home Health Agency
Lab Director BARBARA O. BOATENG

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