21D2016140 CLIA NUMBER - MILES RIVER PHYSICIANS

Laboratory Demographics

  • CLIA Code: 21D2016140
  • Facility Name: MILES RIVER PHYSICIANS
  • Facility Address: 8579 COMMERCE DRIVE #104
    EASTON, MD
    ZIP 21601
  • Facility Phone: 410 822-9133
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FRANCES D. SEYMOUR
  • NPI Number: 1891015012
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2016140
LAB Type Physician Office
Facility Name MILES RIVER PHYSICIANS
Street 8579 COMMERCE DRIVE #104
City EASTON
State MD
ZIP 21601
Phone 410 822-9133
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 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director FRANCES D. SEYMOUR

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