21D2189411 CLIA NUMBER - BH BRIGHTVIEW WHITE MARSH OPCO, LLC

Laboratory Demographics

  • CLIA Code: 21D2189411
  • Facility Name: BH BRIGHTVIEW WHITE MARSH OPCO, LLC
  • Facility Address: 8100 ROSSVILLE BLVD
    BALTIMORE, MD
    ZIP 21236
  • Facility Phone: 410 668-1588
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. ASHLEIGH M. HICKS
  • NPI Number: 1750929493
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2189411
LAB Type Assisted Living Facility
Facility Name BH BRIGHTVIEW WHITE MARSH OPCO, LLC
Street 8100 ROSSVILLE BLVD
City BALTIMORE
State MD
ZIP 21236
Phone 410 668-1588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Assisted Living Facility
Lab Director DR. ASHLEIGH M. HICKS

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