21D1070566 CLIA NUMBER - JOPPA HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 21D1070566
  • Facility Name: JOPPA HEALTH SERVICES INC
  • Facility Address: 623 PULASKI HWY #A
    JOPPA, MD
    ZIP 21085
  • Facility Phone: 410 538-5809
  • Facility Type: Other - OPIOID TX PROGRAM
  • Facility Type: Waiver
  • Lab Director: DR. EPHRAIM Y. DAGADU
  • NPI Number: 1619026432
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1070566
LAB Type Other - OPIOID TX PROGRAM
Facility Name JOPPA HEALTH SERVICES INC
Street 623 PULASKI HWY #A
City JOPPA
State MD
ZIP 21085
Phone 410 538-5809
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Other - OPIOID TX PROGRAM
Lab Director DR. EPHRAIM Y. DAGADU

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