21D2002148 CLIA NUMBER - INTEGRAX, LLC

Laboratory Demographics

  • CLIA Code: 21D2002148
  • Facility Name: INTEGRAX, LLC
  • Facility Address: 29466 PINTAIL DRIVE, SUITE 14
    EASTON, MD
    ZIP 21601
  • Facility Phone: 410 822-0695
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: Y R. DING
  • NPI Number: 1841405859
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 21D2002148
LAB Type Physician Office
Facility Name INTEGRAX, LLC
Street 29466 PINTAIL DRIVE, SUITE 14
City EASTON
State MD
ZIP 21601
Phone 410 822-0695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director Y R. DING

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