21D2118394 CLIA NUMBER - BAYSIDE RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 21D2118394
  • Facility Name: BAYSIDE RECOVERY LLC
  • Facility Address: 440 SOLOMONS ISLAND RD N #222
    PRINCE FREDERICK, MD
    ZIP 20678
  • Facility Phone: 443 486-5680
  • Facility Type: Other - OUTPATIENT SUBSTANCE ABUS
  • Facility Type: Waiver
  • Lab Director: DR. JOHN F. DOMBROWSKI
  • NPI Number: 1235516469
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 21D2118394
LAB Type Other - OUTPATIENT SUBSTANCE ABUS
Facility Name BAYSIDE RECOVERY LLC
Street 440 SOLOMONS ISLAND RD N #222
City PRINCE FREDERICK
State MD
ZIP 20678
Phone 443 486-5680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Other - OUTPATIENT SUBSTANCE ABUS
Lab Director DR. JOHN F. DOMBROWSKI

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