21D1096895 CLIA NUMBER - GLASS HEALTH PROGRAMS INC DBA MTC BELCAMP

Laboratory Demographics

  • CLIA Code: 21D1096895
  • Facility Name: GLASS HEALTH PROGRAMS INC DBA MTC BELCAMP
  • Facility Address: 1361 A BRASS MILL ROAD
    BELCAMP, MD
    ZIP 21017
  • Facility Phone: 410 273-9700
  • Facility Type: Other - NARCOTIC TX PROG
  • Facility Type: Waiver
  • Lab Director: YASHICA RUFFIN
  • NPI Number: 1689937260
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1096895
LAB Type Other - NARCOTIC TX PROG
Facility Name GLASS HEALTH PROGRAMS INC DBA MTC BELCAMP
Street 1361 A BRASS MILL ROAD
City BELCAMP
State MD
ZIP 21017
Phone 410 273-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Other - NARCOTIC TX PROG
Lab Director YASHICA RUFFIN

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This page was last updated on: 3/20/2025