21D2145416 CLIA NUMBER - HOPE'S HORIZON

Laboratory Demographics

  • CLIA Code: 21D2145416
  • Facility Name: HOPE'S HORIZON
  • Facility Address: 4111 E JOPPA ROAD SUITE 101
    BALTIMORE, MD
    ZIP 21236
  • Facility Phone: 443 725-4062
  • Facility Type: Other - ALC & DRUG TX CTR
  • Facility Type: Waiver
  • Lab Director: MARK ILLUMINATI MD
  • NPI Number: 1003408329
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2145416
LAB Type Other - ALC & DRUG TX CTR
Facility Name HOPE'S HORIZON
Street 4111 E JOPPA ROAD SUITE 101
City BALTIMORE
State MD
ZIP 21236
Phone 443 725-4062
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Other - ALC & DRUG TX CTR
Lab Director MARK ILLUMINATI MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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