21D1004203 CLIA NUMBER - MID-SHORE SURGICAL EYE CENTER

Laboratory Demographics

  • CLIA Code: 21D1004203
  • Facility Name: MID-SHORE SURGICAL EYE CENTER
  • Facility Address: 8420 OCEAN GATEWAY
    EASTON, MD
    ZIP 21601
  • Facility Phone: 410 822-0424
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR DERRICK SHINDLER MD
  • NPI Number: 1235354002
  • Taxonomy: 261QS0132X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D1004203
LAB Type Ambulatory Surgery Center
Facility Name MID-SHORE SURGICAL EYE CENTER
Street 8420 OCEAN GATEWAY
City EASTON
State MD
ZIP 21601
Phone 410 822-0424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Ambulatory Surgery Center
Lab Director DR DERRICK SHINDLER MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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