21D2048334 CLIA NUMBER - BALTIMORE CRISIS RESPONSE INC

Laboratory Demographics

  • CLIA Code: 21D2048334
  • Facility Name: BALTIMORE CRISIS RESPONSE INC
  • Facility Address: 5124 GREENWICH AVE
    BALTIMORE, MD
    ZIP 21229
  • Facility Phone: 410 433-5255
  • Facility Type: Other - COMMUNITY MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: DIANE OSSIP
  • NPI Number: 1336120021
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2048334
LAB Type Other - COMMUNITY MENTAL HEALTH
Facility Name BALTIMORE CRISIS RESPONSE INC
Street 5124 GREENWICH AVE
City BALTIMORE
State MD
ZIP 21229
Phone 410 433-5255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Other - COMMUNITY MENTAL HEALTH
Lab Director DIANE OSSIP

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This page was last updated on: 6/4/2025