21D2096742 CLIA NUMBER - CORE CLINICAL CARE, LLC

Laboratory Demographics

  • CLIA Code: 21D2096742
  • Facility Name: CORE CLINICAL CARE, LLC
  • Facility Address: 404C N FRUITLAND BLVD
    SALISBURY, MD
    ZIP 21801
  • Facility Phone: 410 749-8401
  • Facility Type: Other - DIABETES CTR OF EXCELLENC
  • Facility Type: Waiver
  • Lab Director: MR. JEFFREY SHERR
  • NPI Number: 1780072017
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2096742
LAB Type Other - DIABETES CTR OF EXCELLENC
Facility Name CORE CLINICAL CARE, LLC
Street 404C N FRUITLAND BLVD
City SALISBURY
State MD
ZIP 21801
Phone 410 749-8401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Other - DIABETES CTR OF EXCELLENC
Lab Director MR. JEFFREY SHERR

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