21D2174006 CLIA NUMBER - WESTMINSTER RESCUE MISSION

Laboratory Demographics

CLIA Number: 21D2174006

Facility Name: WESTMINSTER RESCUE MISSION

Facility Address:
658 LUCABAUGH MILL ROAD
WESTMINSTER, MD
ZIP 21157
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Facility Phone Number: 410 848-2222

Facility Type: Other - RESIDENTIAL HOUSING

Certificate Type: Waiver

NPI Number: 1871077859

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	21D2174006
LAB Type	Other - RESIDENTIAL HOUSING
Facility Name	WESTMINSTER RESCUE MISSION
Street	658 LUCABAUGH MILL ROAD
City	WESTMINSTER
State	MD
ZIP	21157
Phone	410 848-2222
CertificateType	4
CertificateEffectiveDate	10/23/2023
CertificateExpirationDate	10/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024