21D2094069 CLIA NUMBER - BELAIR HEALTH SOLUTIONS

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Laboratory Demographics

CLIA Number: 21D2094069

Facility Name: BELAIR HEALTH SOLUTIONS

Facility Address:
4825 BELAIR ROAD
BALTIMORE, MD
ZIP 21206
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Facility Phone Number: 410 509-0205

Facility Type: Other - SUBSTANCE ABSUE TX

Certificate Type: Waiver

NPI Number: 1447704648

Taxonomy: 101YA0400X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	21D2094069
LAB Type	Other - SUBSTANCE ABSUE TX
Facility Name	BELAIR HEALTH SOLUTIONS
Street	4825 BELAIR ROAD
City	BALTIMORE
State	MD
ZIP	21206
Phone	410 509-0205
CertificateType	4
CertificateEffectiveDate	4/9/2023
CertificateExpirationDate	4/8/2025
FacilityType	Waiver

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