21D0887163 CLIA NUMBER - DRS SHANAHAN AND FERGUSON PC

Laboratory Demographics

  • CLIA Code: 21D0887163
  • Facility Name: DRS SHANAHAN AND FERGUSON PC
  • Facility Address: 120 SPEER RD BLDG B
    CHESTERTOWN, MD
    ZIP 21620
  • Facility Phone: 410 778-9300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICK J. SHANAHAN
  • NPI Number: 1295765956
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0887163
LAB Type Physician Office
Facility Name DRS SHANAHAN AND FERGUSON PC
Street 120 SPEER RD BLDG B
City CHESTERTOWN
State MD
ZIP 21620
Phone 410 778-9300
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 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Physician Office
Lab Director PATRICK J. SHANAHAN

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