21D2313005 CLIA NUMBER - COMMUNITY RISING LLC

Laboratory Demographics

  • CLIA Code: 21D2313005
  • Facility Name: COMMUNITY RISING LLC
  • Facility Address: 4001 RIDGEWOOD AVENUE
    BALTIMORE, MD
    ZIP 21215
  • Facility Phone: 443 948-8248
  • Facility Type: Other - BEHAVIORAL HEALTH FACILIT
  • Facility Type: Waiver
  • Lab Director: GAIL CHAPMAN-ROBINSON
  • NPI Number: 1033894738
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 21D2313005
LAB Type Other - BEHAVIORAL HEALTH FACILIT
Facility Name COMMUNITY RISING LLC
Street 4001 RIDGEWOOD AVENUE
City BALTIMORE
State MD
ZIP 21215
Phone 443 948-8248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Other - BEHAVIORAL HEALTH FACILIT
Lab Director GAIL CHAPMAN-ROBINSON

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