21D2002973 CLIA NUMBER - UMMC - METHADONE TREATMENT CENTER

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Laboratory Demographics

CLIA Number: 21D2002973

Facility Name: UMMC - METHADONE TREATMENT CENTER

Facility Address:
1001 WEST PRATT ST
BALTIMORE, MD
ZIP 21223
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Facility Phone Number: 443 462-3401

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1063050581

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	21D2002973
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	UMMC - METHADONE TREATMENT CENTER
Street	1001 WEST PRATT ST
City	BALTIMORE
State	MD
ZIP	21223
Phone	443 462-3401
CertificateType	4
CertificateEffectiveDate	1/29/2024
CertificateExpirationDate	1/28/2026
FacilityType	Waiver

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