21D2250140 CLIA NUMBER - BROOKE GROVE FOUNDATION. LNC. D.B.A. MEADOWS 1635

Laboratory Demographics

  • CLIA Code: 21D2250140
  • Facility Name: BROOKE GROVE FOUNDATION. LNC. D.B.A. MEADOWS 1635
  • Facility Address: 1635 HICKORY KNOLL ROAD
    SANDY SPRING, MD
    ZIP 20860
  • Facility Phone: 301 924-9811
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. SHEIKH S. PARVIS
  • NPI Number: 1215141973
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2250140
LAB Type Assisted Living Facility
Facility Name BROOKE GROVE FOUNDATION. LNC. D.B.A. MEADOWS 1635
Street 1635 HICKORY KNOLL ROAD
City SANDY SPRING
State MD
ZIP 20860
Phone 301 924-9811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Assisted Living Facility
Lab Director DR. SHEIKH S. PARVIS

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