21D2005021 CLIA NUMBER - THREE LOWER COUNTIES COMMUNITY SERVICES DBA

Laboratory Demographics

  • CLIA Code: 21D2005021
  • Facility Name: THREE LOWER COUNTIES COMMUNITY SERVICES DBA
  • Facility Address: 1665 WOODBROOKE DR
    SALISBURY, MD
    ZIP 21804
  • Facility Phone: 410 749-1015
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. BYRON L. JENNINGS
  • NPI Number: 1982871034
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2005021
LAB Type Federally Qualified Health Center
Facility Name THREE LOWER COUNTIES COMMUNITY SERVICES DBA
Street 1665 WOODBROOKE DR
City SALISBURY
State MD
ZIP 21804
Phone 410 749-1015
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Federally Qualified Health Center
Lab Director DR. BYRON L. JENNINGS

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