21D2279558 CLIA NUMBER - BMORE RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 21D2279558
  • Facility Name: BMORE RECOVERY LLC
  • Facility Address: 219 W 29TH STREET
    BALTIMORE, MD
    ZIP 21211
  • Facility Phone: 443 880-1164
  • Facility Type: Other - RESIDENTIAL TREATMENT SET
  • Facility Type: Waiver
  • Lab Director: KEVIN MEENAN
  • NPI Number: 1649996216
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2279558
LAB Type Other - RESIDENTIAL TREATMENT SET
Facility Name BMORE RECOVERY LLC
Street 219 W 29TH STREET
City BALTIMORE
State MD
ZIP 21211
Phone 443 880-1164
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Other - RESIDENTIAL TREATMENT SET
Lab Director KEVIN MEENAN

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