21D2216749 CLIA NUMBER - ELEVATE RECOVERY CENTERS LLC

Laboratory Demographics

  • CLIA Code: 21D2216749
  • Facility Name: ELEVATE RECOVERY CENTERS LLC
  • Facility Address: 7476 BALTIMORE ANNAPOLIS BLVD
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 443 960-4673
  • Facility Type: Other - POC URINE DRUG TESTING
  • Facility Type: Waiver
  • Lab Director: STELLA NKWOCHA
  • NPI Number: 1518581990
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2216749
LAB Type Other - POC URINE DRUG TESTING
Facility Name ELEVATE RECOVERY CENTERS LLC
Street 7476 BALTIMORE ANNAPOLIS BLVD
City GLEN BURNIE
State MD
ZIP 21061
Phone 443 960-4673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Other - POC URINE DRUG TESTING
Lab Director STELLA NKWOCHA

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