21D2060825 CLIA NUMBER - DWI SERVICES INC, DBA AVENUES RECOVERY CTR OF MD

Laboratory Demographics

  • CLIA Code: 21D2060825
  • Facility Name: DWI SERVICES INC, DBA AVENUES RECOVERY CTR OF MD
  • Facility Address: 125 FAIRGROUNDS RD
    PRINCE FREDERICK, MD
    ZIP 20678
  • Facility Phone: 410 535-8930
  • Facility Type: Other - POINT OF CARE LAB
  • Facility Type: Waiver
  • Lab Director: DR. PAUL KULPINSKI
  • NPI Number: 1902955396
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2060825
LAB Type Other - POINT OF CARE LAB
Facility Name DWI SERVICES INC, DBA AVENUES RECOVERY CTR OF MD
Street 125 FAIRGROUNDS RD
City PRINCE FREDERICK
State MD
ZIP 20678
Phone 410 535-8930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Other - POINT OF CARE LAB
Lab Director DR. PAUL KULPINSKI

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