21D2034209 CLIA NUMBER - GLASS HEALTH PROGRAMAS INC MEDMARK TX CTRS ESSEX

Home > CLIA Lookup > 21D2034209

Laboratory Demographics

CLIA Number: 21D2034209

Facility Name: GLASS HEALTH PROGRAMAS INC MEDMARK TX CTRS ESSEX

Facility Address:
8909 KELSO DRIVE
ESSEX, MD
ZIP 21221
Get Directions

Facility Phone Number: 410 486-2500

Facility Type: Other - NARCOTIC TREATMENT PROG

Certificate Type: Waiver

NPI Number: 1598021917

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2034209
LAB Type	Other - NARCOTIC TREATMENT PROG
Facility Name	GLASS HEALTH PROGRAMAS INC MEDMARK TX CTRS ESSEX
Street	8909 KELSO DRIVE
City	ESSEX
State	MD
ZIP	21221
Phone	410 486-2500
CertificateType	4
CertificateEffectiveDate	12/20/2023
CertificateExpirationDate	12/19/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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