21D1080992 CLIA NUMBER - UPPER CHESAPEAKE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 21D1080992
  • Facility Name: UPPER CHESAPEAKE PRIMARY CARE
  • Facility Address: 650 MCHENRY RD #3200
    ABERDEEN, MD
    ZIP 21001
  • Facility Phone: 443 843-6262
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT E. RAPP JR
  • NPI Number: 1093902793
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1080992
LAB Type Physician Office
Facility Name UPPER CHESAPEAKE PRIMARY CARE
Street 650 MCHENRY RD #3200
City ABERDEEN
State MD
ZIP 21001
Phone 443 843-6262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director ROBERT E. RAPP JR

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