21D2303245 CLIA NUMBER - BRIGHTVIEW HUNT VALLEY LLC

Laboratory Demographics

  • CLIA Code: 21D2303245
  • Facility Name: BRIGHTVIEW HUNT VALLEY LLC
  • Facility Address: 11509 MCCORMICK ROAD
    COCKEYSVILLE, MD
    ZIP 21030
  • Facility Phone: 443 933-8880
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HASMIN GAMBOA
  • NPI Number: 1588430409
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2303245
LAB Type Assisted Living Facility
Facility Name BRIGHTVIEW HUNT VALLEY LLC
Street 11509 MCCORMICK ROAD
City COCKEYSVILLE
State MD
ZIP 21030
Phone 443 933-8880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Assisted Living Facility
Lab Director HASMIN GAMBOA

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