21D2129923 CLIA NUMBER - LEWIS PRIMARY CARE, PA

Laboratory Demographics

  • CLIA Code: 21D2129923
  • Facility Name: LEWIS PRIMARY CARE, PA
  • Facility Address: 1324 BELMONT AVE UNIT 103
    SALISBURY, MD
    ZIP 21804
  • Facility Phone: 410 430-5509
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINCENT W. LEWIS
  • NPI Number: 1639619224
  • Taxonomy: 363AM0700X - Physician Assistant

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2129923
LAB Type Physician Office
Facility Name LEWIS PRIMARY CARE, PA
Street 1324 BELMONT AVE UNIT 103
City SALISBURY
State MD
ZIP 21804
Phone 410 430-5509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director VINCENT W. LEWIS

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