21D1018485 CLIA NUMBER - CORAZON PANES-SANCHEZ MD

Laboratory Demographics

  • CLIA Code: 21D1018485
  • Facility Name: CORAZON PANES-SANCHEZ MD
  • Facility Address: 20 CRAIGTOWN RD STE 101
    PORT DEPOSIT, MD
    ZIP 21904
  • Facility Phone: 410 642-9172
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORAZON P. PANES-SANCHEZ
  • NPI Number: 1568418531
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D1018485
LAB Type Physician Office
Facility Name CORAZON PANES-SANCHEZ MD
Street 20 CRAIGTOWN RD STE 101
City PORT DEPOSIT
State MD
ZIP 21904
Phone 410 642-9172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Physician Office
Lab Director CORAZON P. PANES-SANCHEZ

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