21D2213143 CLIA NUMBER - CAPRICORN HEALTH LLC

Laboratory Demographics

  • CLIA Code: 21D2213143
  • Facility Name: CAPRICORN HEALTH LLC
  • Facility Address: 101 CHESAPEAKE BLVD STE B
    ELKTON, MD
    ZIP 21921
  • Facility Phone: 410 398-0590
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MAJID POURSHADI
  • NPI Number: 1083205959
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2213143
LAB Type Physician Office
Facility Name CAPRICORN HEALTH LLC
Street 101 CHESAPEAKE BLVD STE B
City ELKTON
State MD
ZIP 21921
Phone 410 398-0590
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Physician Office
Lab Director MAJID POURSHADI

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