21D2271848 CLIA NUMBER - ADVANCED PRACTICE PSYCHIATRIC SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 21D2271848
  • Facility Name: ADVANCED PRACTICE PSYCHIATRIC SOLUTIONS LLC
  • Facility Address: 13327 WISDOM WAY
    HAGERSTOWN, MD
    ZIP 21742
  • Facility Phone: 240 970-7300
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CB BENWAY
  • NPI Number: 1679053540
  • Taxonomy: 363LP0808X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2271848
LAB Type Practitioner Other
Facility Name ADVANCED PRACTICE PSYCHIATRIC SOLUTIONS LLC
Street 13327 WISDOM WAY
City HAGERSTOWN
State MD
ZIP 21742
Phone 240 970-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Practitioner Other
Lab Director CB BENWAY

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