21D2000487 CLIA NUMBER - EASTERN AVENUE HEALTH SOLUTIONS INC

Laboratory Demographics

  • CLIA Code: 21D2000487
  • Facility Name: EASTERN AVENUE HEALTH SOLUTIONS INC
  • Facility Address: 5920 EASTERN AVENUE
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 443 904-3424
  • Facility Type: Other - METHADONE CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. CATHERINE J. CHAMBERLAIN
  • NPI Number: 1598099061
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2000487
LAB Type Other - METHADONE CLINIC
Facility Name EASTERN AVENUE HEALTH SOLUTIONS INC
Street 5920 EASTERN AVENUE
City BALTIMORE
State MD
ZIP 21224
Phone 443 904-3424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Other - METHADONE CLINIC
Lab Director DR. CATHERINE J. CHAMBERLAIN

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