21D2190307 CLIA NUMBER - ST JOSEPH'S NURSING HOME INC

Laboratory Demographics

  • CLIA Code: 21D2190307
  • Facility Name: ST JOSEPH'S NURSING HOME INC
  • Facility Address: 1222 TUGWELL DR
    CATONSVILLE, MD
    ZIP 21228
  • Facility Phone: 410 747-0026
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SR. KRYSTYNA MROCZEK
  • NPI Number: 1871582585
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2190307
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST JOSEPH'S NURSING HOME INC
Street 1222 TUGWELL DR
City CATONSVILLE
State MD
ZIP 21228
Phone 410 747-0026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SR. KRYSTYNA MROCZEK

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