21D2202094 CLIA NUMBER - CHESAPEAKE SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 21D2202094
  • Facility Name: CHESAPEAKE SPECIALTY CARE
  • Facility Address: 2002 MEDICAL PKWY #230
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 266-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. J MICHAEL PARDO
  • NPI Number: 1629201991
  • Taxonomy: 152WV0400X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 21D2202094
LAB Type Physician Office
Facility Name CHESAPEAKE SPECIALTY CARE
Street 2002 MEDICAL PKWY #230
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 266-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Physician Office
Lab Director DR. J MICHAEL PARDO

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