21D1077057 CLIA NUMBER - MINUTECLINIC, LLC #1881

Laboratory Demographics

  • CLIA Code: 21D1077057
  • Facility Name: MINUTECLINIC, LLC #1881
  • Facility Address: 10095 WARD ROAD, DUNKIRK MKTPLC
    DUNKIRK, MD
    ZIP 20754
  • Facility Phone: 401 770-6453
  • Facility Type: Other - LIM SVC HLTH CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: MINOKA MCPHERSON
  • NPI Number: 1093526279
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D1077057
LAB Type Other - LIM SVC HLTH CARE CLINIC
Facility Name MINUTECLINIC, LLC #1881
Street 10095 WARD ROAD, DUNKIRK MKTPLC
City DUNKIRK
State MD
ZIP 20754
Phone 401 770-6453
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Other - LIM SVC HLTH CARE CLINIC
Lab Director MINOKA MCPHERSON

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