21D2013640 CLIA NUMBER - EASTERN SHORE PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 21D2013640
  • Facility Name: EASTERN SHORE PEDIATRICS, LLC
  • Facility Address: 211 MARYLAND AVENUE
    SALISBURY, MD
    ZIP 21801
  • Facility Phone: 410 219-9111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EPHREM DANIEL
  • NPI Number: 1063713295
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D2013640
LAB Type Physician Office
Facility Name EASTERN SHORE PEDIATRICS, LLC
Street 211 MARYLAND AVENUE
City SALISBURY
State MD
ZIP 21801
Phone 410 219-9111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director DR. EPHREM DANIEL

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