21D2002690 CLIA NUMBER - POWELL RECOVERY CENTER INC

Laboratory Demographics

  • CLIA Code: 21D2002690
  • Facility Name: POWELL RECOVERY CENTER INC
  • Facility Address: 14 S BROADWAY
    BALTIMORE, MD
    ZIP 21231
  • Facility Phone: 410 276-1773
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Accreditation
  • Lab Director: DR. PATRICIA A. O'HORA
  • NPI Number: 1194211052
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2002690
LAB Type Comp. Outpatient Rehab Facility
Facility Name POWELL RECOVERY CENTER INC
Street 14 S BROADWAY
City BALTIMORE
State MD
ZIP 21231
Phone 410 276-1773
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director DR. PATRICIA A. O'HORA

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