21D2306102 CLIA NUMBER - 925 GROUP LLC

Laboratory Demographics

  • CLIA Code: 21D2306102
  • Facility Name: 925 GROUP LLC
  • Facility Address: 4017 GILL AVENUE
    HAMPSTEAD, MD
    ZIP 21074
  • Facility Phone: 443 890-4309
  • Facility Type: Other - COMM BASED BAHVIORAL HEAL
  • Facility Type: Waiver
  • Lab Director: SHERI DENHAM
  • NPI Number: 1619687100
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2306102
LAB Type Other - COMM BASED BAHVIORAL HEAL
Facility Name 925 GROUP LLC
Street 4017 GILL AVENUE
City HAMPSTEAD
State MD
ZIP 21074
Phone 443 890-4309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Other - COMM BASED BAHVIORAL HEAL
Lab Director SHERI DENHAM

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