21D0675486 CLIA NUMBER - CHILDREN'S MEDICAL GROUP AT SALISBURY, PA PA

Laboratory Demographics

  • CLIA Code: 21D0675486
  • Facility Name: CHILDREN'S MEDICAL GROUP AT SALISBURY, PA PA
  • Facility Address: 217 PHILIP MORRIS DRIVE
    SALISBURY, MD
    ZIP 21804
  • Facility Phone: 410 742-2734
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LISA A. YAMAKAWA
  • NPI Number: 1407803034
  • Taxonomy: 385H00000X - Respite Care

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CLIA Record

Field Name Field Value
CLIA Number 21D0675486
LAB Type Physician Office
Facility Name CHILDREN'S MEDICAL GROUP AT SALISBURY, PA PA
Street 217 PHILIP MORRIS DRIVE
City SALISBURY
State MD
ZIP 21804
Phone 410 742-2734
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director LISA A. YAMAKAWA

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