21D2236182 CLIA NUMBER - LOWER SHORE CLINIC INC

Laboratory Demographics

  • CLIA Code: 21D2236182
  • Facility Name: LOWER SHORE CLINIC INC
  • Facility Address: 7033 WORCHESTER HIGHWAY
    NEWARK, MD
    ZIP 21841
  • Facility Phone: 410 341-3420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTINE HICKMAN
  • NPI Number: 1760003347
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 21D2236182
LAB Type Physician Office
Facility Name LOWER SHORE CLINIC INC
Street 7033 WORCHESTER HIGHWAY
City NEWARK
State MD
ZIP 21841
Phone 410 341-3420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director KRISTINE HICKMAN

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