21D2273817 CLIA NUMBER - HUMBLE BEGINNINGS RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 21D2273817
  • Facility Name: HUMBLE BEGINNINGS RECOVERY LLC
  • Facility Address: 3935 SOUTHERN AVE
    BALTIMORE, MD
    ZIP 21206
  • Facility Phone: 443 707-5558
  • Facility Type: Other - ASAM RESIDENTRIAL TX
  • Facility Type: Waiver
  • Lab Director: JESSE WATERMAN
  • NPI Number: 1588246995
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2273817
LAB Type Other - ASAM RESIDENTRIAL TX
Facility Name HUMBLE BEGINNINGS RECOVERY LLC
Street 3935 SOUTHERN AVE
City BALTIMORE
State MD
ZIP 21206
Phone 443 707-5558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Other - ASAM RESIDENTRIAL TX
Lab Director JESSE WATERMAN

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