21D2289485 CLIA NUMBER - EASTERN SHORE PRIMARY CARE PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 21D2289485
  • Facility Name: EASTERN SHORE PRIMARY CARE PRACTICE LLC
  • Facility Address: 7416 CHURCH HILL ROAD SUITE 2
    CHESTERTOWN, MD
    ZIP 21620
  • Facility Phone: (410) 498-4848
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAUREN BRUNEIO
  • NPI Number: 1245910579
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2289485
LAB Type Physician Office
Facility Name EASTERN SHORE PRIMARY CARE PRACTICE LLC
Street 7416 CHURCH HILL ROAD SUITE 2
City CHESTERTOWN
State MD
ZIP 21620
Phone 4104984848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director LAUREN BRUNEIO

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