21D2212351 CLIA NUMBER - DISCOVERY - CROWNSVILLE 2008

Laboratory Demographics

CLIA Code: 21D2212351
Facility Name: DISCOVERY - CROWNSVILLE 2008
Facility Address: 2008 ST STEPHENS WOODS DRIVE
CROWNSVILLE, MD
ZIP 21032
Facility Phone: 714 496-4476
Facility Type: Other - RESIDENTIAL TREATMENT
Facility Type: Waiver
Lab Director: DR. VICKI L. HUDSON
NPI Number: 1083371249
Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	21D2212351
LAB Type	Other - RESIDENTIAL TREATMENT
Facility Name	DISCOVERY - CROWNSVILLE 2008
Street	2008 ST STEPHENS WOODS DRIVE
City	CROWNSVILLE
State	MD
ZIP	21032
Phone	714 496-4476
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/4/2025
Certificate Expiration Date	2/3/2027
Facility Type	Other - RESIDENTIAL TREATMENT
Lab Director	DR. VICKI L. HUDSON

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