21D0912622 CLIA NUMBER - COASTAL HOSPICE INC

Laboratory Demographics

  • CLIA Code: 21D0912622
  • Facility Name: COASTAL HOSPICE INC
  • Facility Address: 2604 OCEAN CITY ROAD
    SALISBURY, MD
    ZIP 21802
  • Facility Phone: 410 742-8732
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GHULAM WARIS
  • NPI Number: 1407932643
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 21D0912622
LAB Type Hospice
Facility Name COASTAL HOSPICE INC
Street 2604 OCEAN CITY ROAD
City SALISBURY
State MD
ZIP 21802
Phone 410 742-8732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Hospice
Lab Director GHULAM WARIS

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