21D0987067 CLIA NUMBER - POCOMOKE CITY VA OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 21D0987067
  • Facility Name: POCOMOKE CITY VA OUTPATIENT CLINIC
  • Facility Address: 1701 MARKET STREET STE 211
    POCOMOKE CITY, MD
    ZIP 21851
  • Facility Phone: (410) 957-6718
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DONG LEE
  • NPI Number: 1104451905
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D0987067
LAB Type Community Clinic
Facility Name POCOMOKE CITY VA OUTPATIENT CLINIC
Street 1701 MARKET STREET STE 211
City POCOMOKE CITY
State MD
ZIP 21851
Phone 4109576718
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/29/2001
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DONG LEE

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