21D2165393 CLIA NUMBER - SIBUS TREATMENT SERVICES LLC

Laboratory Demographics

  • CLIA Code: 21D2165393
  • Facility Name: SIBUS TREATMENT SERVICES LLC
  • Facility Address: 6170 HUNT CLUB
    ELKRIDGE, MD
    ZIP 21075
  • Facility Phone: 410 991-5687
  • Facility Type: Other - OUT PATIENT SUBSTANCE ABU
  • Facility Type: Waiver
  • Lab Director: DR. JOHN F. DOMBROWSKI
  • NPI Number: 1215587027
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2165393
LAB Type Other - OUT PATIENT SUBSTANCE ABU
Facility Name SIBUS TREATMENT SERVICES LLC
Street 6170 HUNT CLUB
City ELKRIDGE
State MD
ZIP 21075
Phone 410 991-5687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Other - OUT PATIENT SUBSTANCE ABU
Lab Director DR. JOHN F. DOMBROWSKI

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