21D2291566 CLIA NUMBER - LOTUS PSYCHOTHERAPY LLC DBA THE REFUGE

Laboratory Demographics

  • CLIA Code: 21D2291566
  • Facility Name: LOTUS PSYCHOTHERAPY LLC DBA THE REFUGE
  • Facility Address: 107 RIDGELY AVE SUITE 13B
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 443 569-3228
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALLISON SCARINZI
  • NPI Number: 1679272579
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2291566
LAB Type Practitioner Other
Facility Name LOTUS PSYCHOTHERAPY LLC DBA THE REFUGE
Street 107 RIDGELY AVE SUITE 13B
City ANNAPOLIS
State MD
ZIP 21401
Phone 443 569-3228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Practitioner Other
Lab Director ALLISON SCARINZI

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