21D0896708 CLIA NUMBER - SHORE UP ADULT MEDICAL DAY CARE

Laboratory Demographics

  • CLIA Code: 21D0896708
  • Facility Name: SHORE UP ADULT MEDICAL DAY CARE
  • Facility Address: 1929 NORTHWOOD DR
    SALISBURY, MD
    ZIP 21804
  • Facility Phone: 410 749-1142
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CHRISTJON HUDDLESTON
  • NPI Number: 1982739090
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 21D0896708
LAB Type Other
Facility Name SHORE UP ADULT MEDICAL DAY CARE
Street 1929 NORTHWOOD DR
City SALISBURY
State MD
ZIP 21804
Phone 410 749-1142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Other
Lab Director CHRISTJON HUDDLESTON

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