21D0722552 CLIA NUMBER - ASHLEY ADDICTION TREATMENT

Laboratory Demographics

  • CLIA Code: 21D0722552
  • Facility Name: ASHLEY ADDICTION TREATMENT
  • Facility Address: 800 TYDINGS LANE
    HAVRE DE GRACE, MD
    ZIP 21078
  • Facility Phone: 410 273-2384
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL J. BOCHICCHIO
  • NPI Number: 1801873989
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0722552
LAB Type Other
Facility Name ASHLEY ADDICTION TREATMENT
Street 800 TYDINGS LANE
City HAVRE DE GRACE
State MD
ZIP 21078
Phone 410 273-2384
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Other
Lab Director DR. DANIEL J. BOCHICCHIO

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