21D2150643 CLIA NUMBER - CHESAPEAKE CLINICAL LABORATORIES, LLC

Laboratory Demographics

  • CLIA Code: 21D2150643
  • Facility Name: CHESAPEAKE CLINICAL LABORATORIES, LLC
  • Facility Address: 131 S UNION AVE SUITE B
    HAVRE DE GRACE, MD
    ZIP 21078
  • Facility Phone: 410 502-1340
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. BALU K. CHACKO
  • NPI Number: 1982886537
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2150643
LAB Type Independent
Facility Name CHESAPEAKE CLINICAL LABORATORIES, LLC
Street 131 S UNION AVE SUITE B
City HAVRE DE GRACE
State MD
ZIP 21078
Phone 410 502-1340
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Independent
Lab Director DR. BALU K. CHACKO

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