21D2180927 CLIA NUMBER - LUCY VAN VOORHEES MD LLC

Laboratory Demographics

  • CLIA Code: 21D2180927
  • Facility Name: LUCY VAN VOORHEES MD LLC
  • Facility Address: 12417 OCEAN GATEWAY SUITE 5A
    OCEAN CITY, MD
    ZIP 21842
  • Facility Phone: 410 213-2751
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUCY VAN VOORHEES
  • NPI Number: 1801871645
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2180927
LAB Type Physician Office
Facility Name LUCY VAN VOORHEES MD LLC
Street 12417 OCEAN GATEWAY SUITE 5A
City OCEAN CITY
State MD
ZIP 21842
Phone 410 213-2751
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director LUCY VAN VOORHEES

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