21D0893213 CLIA NUMBER - DELMARVA DAYBREAK HURLOCK

Laboratory Demographics

  • CLIA Code: 21D0893213
  • Facility Name: DELMARVA DAYBREAK HURLOCK
  • Facility Address: 6210 SHILOH CHURCH HURLOCK ROAD
    HURLOCK, MD
    ZIP 21643
  • Facility Phone: 410 221-1900
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARK MALKUS
  • NPI Number: 1114088192
  • Taxonomy: 103TM1800X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 21D0893213
LAB Type Other
Facility Name DELMARVA DAYBREAK HURLOCK
Street 6210 SHILOH CHURCH HURLOCK ROAD
City HURLOCK
State MD
ZIP 21643
Phone 410 221-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Other
Lab Director MARK MALKUS

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