21D2233526 CLIA NUMBER - GRASSROOTS CRISIS INTERVENTION CENTER

Laboratory Demographics

  • CLIA Code: 21D2233526
  • Facility Name: GRASSROOTS CRISIS INTERVENTION CENTER
  • Facility Address: 8990 OLD ANNAPOLIS RD STE A
    COLUMBIA, MD
    ZIP 21045
  • Facility Phone: 410 531-6006
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SWEETIE H. DOYCHINOV
  • NPI Number: 1447850656
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2233526
LAB Type Community Clinic
Facility Name GRASSROOTS CRISIS INTERVENTION CENTER
Street 8990 OLD ANNAPOLIS RD STE A
City COLUMBIA
State MD
ZIP 21045
Phone 410 531-6006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Community Clinic
Lab Director SWEETIE H. DOYCHINOV

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