21D0922051 CLIA NUMBER - TIDALHEALTH PRIMARY CARE- FEDERALSBURG

Laboratory Demographics

  • CLIA Code: 21D0922051
  • Facility Name: TIDALHEALTH PRIMARY CARE- FEDERALSBURG
  • Facility Address: 3304 HAYMAN DRIVE
    FEDERALSBURG, MD
    ZIP 21632
  • Facility Phone: (410) 754-2440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN A. APPIOTT

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CLIA Record

Field Name Field Value
CLIA Number 21D0922051
LAB Type Physician Office
Facility Name TIDALHEALTH PRIMARY CARE- FEDERALSBURG
Street 3304 HAYMAN DRIVE
City FEDERALSBURG
State MD
ZIP 21632
Phone 4107542440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2025
Certificate Expiration Date 12/20/2027
Facility Type Physician Office
Lab Director DR. JOHN A. APPIOTT

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This page was last updated on: 5/18/2026