21D2034079 CLIA NUMBER - GLASS HEALTH PROGRAMS INC DBA MTC CHERRY HILL

Laboratory Demographics

  • CLIA Code: 21D2034079
  • Facility Name: GLASS HEALTH PROGRAMS INC DBA MTC CHERRY HILL
  • Facility Address: 1801 CHERRY HILL ROAD
    BALTIMORE, MD
    ZIP 21230
  • Facility Phone: 214 379-3318
  • Facility Type: Other - NARCOTICS TREATMENT PROG
  • Facility Type: Waiver
  • Lab Director: YASHICA RUFFIN
  • NPI Number: 1093071920
  • Taxonomy: 261QM2800X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2034079
LAB Type Other - NARCOTICS TREATMENT PROG
Facility Name GLASS HEALTH PROGRAMS INC DBA MTC CHERRY HILL
Street 1801 CHERRY HILL ROAD
City BALTIMORE
State MD
ZIP 21230
Phone 214 379-3318
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Other - NARCOTICS TREATMENT PROG
Lab Director YASHICA RUFFIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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