21D2156169 CLIA NUMBER - EZ CARE CLINIC LLC

Laboratory Demographics

  • CLIA Code: 21D2156169
  • Facility Name: EZ CARE CLINIC LLC
  • Facility Address: 1519 W PATRICK STREET A1
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 832 874-8642
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DELPHINE A. BATCHA FNP BC
  • NPI Number: 1447735352
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2156169
LAB Type Practitioner Other
Facility Name EZ CARE CLINIC LLC
Street 1519 W PATRICK STREET A1
City FREDERICK
State MD
ZIP 21702
Phone 832 874-8642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Practitioner Other
Lab Director DELPHINE A. BATCHA FNP BC

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