21D2071991 CLIA NUMBER - SHAWN R LEE DC LLC - SUSQUEHANNA SPINE & REHAB

Laboratory Demographics

  • CLIA Code: 21D2071991
  • Facility Name: SHAWN R LEE DC LLC - SUSQUEHANNA SPINE & REHAB
  • Facility Address: 2105 LAUREL BUSH RD STE 103
    BEL AIR, MD
    ZIP 21015
  • Facility Phone: 443 512-0025
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAWN LEE DC
  • NPI Number: 1386727949
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2071991
LAB Type Physician Office
Facility Name SHAWN R LEE DC LLC - SUSQUEHANNA SPINE & REHAB
Street 2105 LAUREL BUSH RD STE 103
City BEL AIR
State MD
ZIP 21015
Phone 443 512-0025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Physician Office
Lab Director SHAWN LEE DC

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