21D2037477 CLIA NUMBER - KENT COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 21D2037477
  • Facility Name: KENT COUNTY DETENTION CENTER
  • Facility Address: 104 VICKERS DRIVE, UNIT A
    CHESTERTOWN, MD
    ZIP 21620
  • Facility Phone: 410 778-6025
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: RON ELFENBEIN
  • NPI Number: 1497951032
  • Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 21D2037477
LAB Type Prison
Facility Name KENT COUNTY DETENTION CENTER
Street 104 VICKERS DRIVE, UNIT A
City CHESTERTOWN
State MD
ZIP 21620
Phone 410 778-6025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Prison
Lab Director RON ELFENBEIN

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