21D2056166 CLIA NUMBER - EASTERN SHORE ENDOSCOPY, LLC

Laboratory Demographics

  • CLIA Code: 21D2056166
  • Facility Name: EASTERN SHORE ENDOSCOPY, LLC
  • Facility Address: 511 IDLEWILD AVENUE
    EASTON, MD
    ZIP 21601
  • Facility Phone: 410 820-8838
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL P. MORAN
  • NPI Number: 1821492646
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2056166
LAB Type Ambulatory Surgery Center
Facility Name EASTERN SHORE ENDOSCOPY, LLC
Street 511 IDLEWILD AVENUE
City EASTON
State MD
ZIP 21601
Phone 410 820-8838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL P. MORAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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