21D2321749 CLIA NUMBER - LIFTING STIGMAS AND CHANGING LIVES

Laboratory Demographics

  • CLIA Code: 21D2321749
  • Facility Name: LIFTING STIGMAS AND CHANGING LIVES
  • Facility Address: 7904 HARFORD RD
    PARKVILLE, MD
    ZIP 21234
  • Facility Phone: 410 656-3906
  • Facility Type: Other - OUTPATIENT MENTAL HEALTH
  • Facility Type: Waiver
  • Lab Director: SELIAT DOSUNMU
  • NPI Number: 1386301653
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2321749
LAB Type Other - OUTPATIENT MENTAL HEALTH
Facility Name LIFTING STIGMAS AND CHANGING LIVES
Street 7904 HARFORD RD
City PARKVILLE
State MD
ZIP 21234
Phone 410 656-3906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Other - OUTPATIENT MENTAL HEALTH
Lab Director SELIAT DOSUNMU

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