21D2166701 CLIA NUMBER - DELMARVA ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 21D2166701
  • Facility Name: DELMARVA ENDOSCOPY CENTER
  • Facility Address: 11103 CATHAGE RD
    BERLIN, MD
    ZIP 21811
  • Facility Phone: 410 847-7900
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JERROLD S. CANAKIS
  • NPI Number: 1922566066
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2166701
LAB Type Ambulatory Surgery Center
Facility Name DELMARVA ENDOSCOPY CENTER
Street 11103 CATHAGE RD
City BERLIN
State MD
ZIP 21811
Phone 410 847-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Ambulatory Surgery Center
Lab Director JERROLD S. CANAKIS

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