21D2128540 CLIA NUMBER - ECHOHOUSE MULTISERVICE CENTER

Laboratory Demographics

  • CLIA Code: 21D2128540
  • Facility Name: ECHOHOUSE MULTISERVICE CENTER
  • Facility Address: 1705 W FAYETTE STREET
    BALTIMORE, MD
    ZIP 21223
  • Facility Phone: 410 947-1700
  • Facility Type: Other - SUB ABUSE TX FACILITY
  • Facility Type: Waiver
  • Lab Director: BENITA PASCHALL
  • NPI Number: 1942444260
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 21D2128540
LAB Type Other - SUB ABUSE TX FACILITY
Facility Name ECHOHOUSE MULTISERVICE CENTER
Street 1705 W FAYETTE STREET
City BALTIMORE
State MD
ZIP 21223
Phone 410 947-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Other - SUB ABUSE TX FACILITY
Lab Director BENITA PASCHALL

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