21D2255618 CLIA NUMBER - QUEENSTOWN LANDING

Laboratory Demographics

  • CLIA Code: 21D2255618
  • Facility Name: QUEENSTOWN LANDING
  • Facility Address: 120 SHOREWAY DRIVE
    QUEENSTOWN, MD
    ZIP 21658
  • Facility Phone: 410 304-2005
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EVELYN S. FARKAS
  • NPI Number: 1881757052
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 21D2255618
LAB Type Assisted Living Facility
Facility Name QUEENSTOWN LANDING
Street 120 SHOREWAY DRIVE
City QUEENSTOWN
State MD
ZIP 21658
Phone 410 304-2005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Assisted Living Facility
Lab Director EVELYN S. FARKAS

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