21D2134480 CLIA NUMBER - COVE RECOVERY LLC FKA J DAVID COLLINS & ASSOCS LLC

Laboratory Demographics

  • CLIA Code: 21D2134480
  • Facility Name: COVE RECOVERY LLC FKA J DAVID COLLINS & ASSOCS LLC
  • Facility Address: 30256 MOUNT VERNON ROAD UNIT A
    PRINCESS ANNE, MD
    ZIP 21853
  • Facility Phone: 410 548-3333
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: STACEY DALE
  • NPI Number: 1205115508
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 21D2134480
LAB Type Comp. Outpatient Rehab Facility
Facility Name COVE RECOVERY LLC FKA J DAVID COLLINS & ASSOCS LLC
Street 30256 MOUNT VERNON ROAD UNIT A
City PRINCESS ANNE
State MD
ZIP 21853
Phone 410 548-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director STACEY DALE

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