21D2297101 CLIA NUMBER - GLASS HEALTH PROGRAMS INC

Laboratory Demographics

  • CLIA Code: 21D2297101
  • Facility Name: GLASS HEALTH PROGRAMS INC
  • Facility Address: 720 BOSLEY AVENUE
    TOWSON, MD
    ZIP 21204
  • Facility Phone: 667 335-1338
  • Facility Type: Other - NARCOTIC TX PROG
  • Facility Type: Waiver
  • Lab Director: YASHICA RUFFIN
  • NPI Number: 1497464648
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2297101
LAB Type Other - NARCOTIC TX PROG
Facility Name GLASS HEALTH PROGRAMS INC
Street 720 BOSLEY AVENUE
City TOWSON
State MD
ZIP 21204
Phone 667 335-1338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Other - NARCOTIC TX PROG
Lab Director YASHICA RUFFIN

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