21D2057137 CLIA NUMBER - PHOENIX HEALTH CENTER LLC DBA BHG MARYLAND TREATME

Laboratory Demographics

  • CLIA Code: 21D2057137
  • Facility Name: PHOENIX HEALTH CENTER LLC DBA BHG MARYLAND TREATME
  • Facility Address: 217 EAST ANTIETAM STREET
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 240 420-0000
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: CAMERON DUFFY
  • NPI Number: 1487049334
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D2057137
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name PHOENIX HEALTH CENTER LLC DBA BHG MARYLAND TREATME
Street 217 EAST ANTIETAM STREET
City HAGERSTOWN
State MD
ZIP 21740
Phone 240 420-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director CAMERON DUFFY

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