21D2203000 CLIA NUMBER - EPEC CLINIC LLC

Laboratory Demographics

  • CLIA Code: 21D2203000
  • Facility Name: EPEC CLINIC LLC
  • Facility Address: 9110 PHILADELPHIA RD #210
    ROSEDALE, MD
    ZIP 21237
  • Facility Phone: (410) 419-9428
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEKEYA HUTTON
  • NPI Number: 1487374872
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D2203000
LAB Type Physician Office
Facility Name EPEC CLINIC LLC
Street 9110 PHILADELPHIA RD #210
City ROSEDALE
State MD
ZIP 21237
Phone 4104199428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director LEKEYA HUTTON

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This page was last updated on: 5/18/2026