21D1050588 CLIA NUMBER - INSTITUTES FOR BEHAVIOR RESOURCES INC

Laboratory Demographics

  • CLIA Code: 21D1050588
  • Facility Name: INSTITUTES FOR BEHAVIOR RESOURCES INC
  • Facility Address: 2104 MARYLAND AVENUE
    BALTIMORE, MD
    ZIP 21218
  • Facility Phone: 410 752-6080
  • Facility Type: Other - SUBSTANCE USE TREATMENT F
  • Facility Type: Waiver
  • Lab Director: DR. G MALIK BURNETT
  • NPI Number: 1437564044
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 21D1050588
LAB Type Other - SUBSTANCE USE TREATMENT F
Facility Name INSTITUTES FOR BEHAVIOR RESOURCES INC
Street 2104 MARYLAND AVENUE
City BALTIMORE
State MD
ZIP 21218
Phone 410 752-6080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Other - SUBSTANCE USE TREATMENT F
Lab Director DR. G MALIK BURNETT

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