21D2034080 CLIA NUMBER - GLASS HEALTH PROGRAMS INC DBA MTC TIMONIUM

Laboratory Demographics

  • CLIA Code: 21D2034080
  • Facility Name: GLASS HEALTH PROGRAMS INC DBA MTC TIMONIUM
  • Facility Address: 2 WEST AYLESBURY ROAD
    TIMONIUM, MD
    ZIP 21093
  • Facility Phone: 214 379-3318
  • Facility Type: Other - NARCOTIC TREATMENT PROG
  • Facility Type: Waiver
  • Lab Director: YASHICA RUFFIN
  • NPI Number: 1528325420
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2034080
LAB Type Other - NARCOTIC TREATMENT PROG
Facility Name GLASS HEALTH PROGRAMS INC DBA MTC TIMONIUM
Street 2 WEST AYLESBURY ROAD
City TIMONIUM
State MD
ZIP 21093
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 - NARCOTIC TREATMENT PROG
Lab Director YASHICA RUFFIN

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