21D2187887 CLIA NUMBER - BH BRIGHTVIEW ROLLING HILLS OPCO LLC

Laboratory Demographics

  • CLIA Code: 21D2187887
  • Facility Name: BH BRIGHTVIEW ROLLING HILLS OPCO LLC
  • Facility Address: 848 SOUTH ROLLING ROAD
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 410 744-7101
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HASMIN R. GAMBOA
  • NPI Number: 1760020416
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2187887
LAB Type Assisted Living Facility
Facility Name BH BRIGHTVIEW ROLLING HILLS OPCO LLC
Street 848 SOUTH ROLLING ROAD
City CATONSVILLE
State MD
ZIP 21228
Phone 410 744-7101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Assisted Living Facility
Lab Director HASMIN R. GAMBOA

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