21D1070666 CLIA NUMBER - METWORK HEALTH SERVICES

Laboratory Demographics

CLIA Number: 21D1070666

Facility Name: METWORK HEALTH SERVICES

Facility Address:
2120 LIBERTY ROAD
ELDERSBURG, MD
ZIP 21784
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Facility Phone Number: 410 766-9668

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1780733501

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name Field Value
CLIA Number 21D1070666
LAB Type Other
Facility Name METWORK HEALTH SERVICES
Street 2120 LIBERTY ROAD
City ELDERSBURG
State MD
ZIP 21784
Phone 410 766-9668
CertificateType 4
CertificateEffectiveDate 7/5/2023
CertificateExpirationDate 7/4/2025
FacilityType Waiver

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