21D1048996 CLIA NUMBER - YOUR DOC'S IN

Laboratory Demographics

CLIA Number: 21D1048996

Facility Name: YOUR DOC'S IN

Facility Address:
8163 OCEAN GATEWAY
EASTON, MD
ZIP 21601
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Facility Phone Number: 443 944-0196

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1689733099

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D1048996
LAB Type	Physician Office
Facility Name	YOUR DOC'S IN
Street	8163 OCEAN GATEWAY
City	EASTON
State	MD
ZIP	21601
Phone	443 944-0196
CertificateType	2
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024