21D0969883 CLIA NUMBER - SHEPPARD PRATT BALTIMORE WASHINGTON CAMPUS

Laboratory Demographics

CLIA Number: 21D0969883

Facility Name: SHEPPARD PRATT BALTIMORE WASHINGTON CAMPUS

Facility Address:
7220 DISCOVERY DRIVE
ELKRIDGE, MD
ZIP 21075
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Facility Phone Number: 240 915-5500

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1447296926

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	21D0969883
LAB Type	Hospital
Facility Name	SHEPPARD PRATT BALTIMORE WASHINGTON CAMPUS
Street	7220 DISCOVERY DRIVE
City	ELKRIDGE
State	MD
ZIP	21075
Phone	240 915-5500
CertificateType	4
CertificateEffectiveDate	1/28/2024
CertificateExpirationDate	1/27/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024