21D2156447 CLIA NUMBER - SHORE ORTHOPEDICS, INC DBA THE ORTHOPEDIC CTR

Laboratory Demographics

  • CLIA Code: 21D2156447
  • Facility Name: SHORE ORTHOPEDICS, INC DBA THE ORTHOPEDIC CTR
  • Facility Address: 510 IDLEWILD AVENUE SUITE 200
    EASTON, MD
    ZIP 21601
  • Facility Phone: 410 820-8226
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS E. STAUCH MD
  • NPI Number: 1538515952
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 21D2156447
LAB Type Physician Office
Facility Name SHORE ORTHOPEDICS, INC DBA THE ORTHOPEDIC CTR
Street 510 IDLEWILD AVENUE SUITE 200
City EASTON
State MD
ZIP 21601
Phone 410 820-8226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director THOMAS E. STAUCH MD

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