21D0221363 CLIA NUMBER - MERIDIAN PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 21D0221363
  • Facility Name: MERIDIAN PRIMARY CARE LLC
  • Facility Address: 115 NORTH BRIDGE STREET
    ELKTON, MD
    ZIP 21921
  • Facility Phone: 410 398-3041
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLO E. GOPEZ MD
  • NPI Number: 1689881120
  • Taxonomy: 207QH0002X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D0221363
LAB Type Physician Office
Facility Name MERIDIAN PRIMARY CARE LLC
Street 115 NORTH BRIDGE STREET
City ELKTON
State MD
ZIP 21921
Phone 410 398-3041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director CARLO E. GOPEZ MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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