21D2237692 CLIA NUMBER - EPEC CLINIC LLC

Laboratory Demographics

  • CLIA Code: 21D2237692
  • Facility Name: EPEC CLINIC LLC
  • Facility Address: 314-316 GERMAN HILL RD #1
    DUNDALK, MD
    ZIP 21222
  • Facility Phone: 410 419-9428
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEKEYA HUTTON
  • NPI Number: 1245983352
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2237692
LAB Type Physician Office
Facility Name EPEC CLINIC LLC
Street 314-316 GERMAN HILL RD #1
City DUNDALK
State MD
ZIP 21222
Phone 410 419-9428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director LEKEYA HUTTON

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