21D2236354 CLIA NUMBER - ADDICTION MEDICATION CLINIC

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CLIA Record

Field Name Field Value
CLIA Number 21D2236354
LAB Type Other - POC TOXICOLOGY
Facility Name ADDICTION MEDICATION CLINIC
Street 407 MALCOLM DRIVE
City WESTMINSTER
State MD
ZIP 21157
Phone 410 702-0921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Other - POC TOXICOLOGY
Lab Director JEANETTE MITCHELL

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