21D2295514 CLIA NUMBER - SHEDRICK LABORATORY

Laboratory Demographics

  • CLIA Code: 21D2295514
  • Facility Name: SHEDRICK LABORATORY
  • Facility Address: 556 CYNWOOD DR UNIT C
    EASTON, MD
    ZIP 21601
  • Facility Phone: 443 438-5612
  • Facility Type: Other - PUTPATIENT MENTAL HLTH CL
  • Facility Type: Waiver
  • Lab Director: MICHAEL DURRY
  • NPI Number: 1609638725
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 21D2295514
LAB Type Other - PUTPATIENT MENTAL HLTH CL
Facility Name SHEDRICK LABORATORY
Street 556 CYNWOOD DR UNIT C
City EASTON
State MD
ZIP 21601
Phone 443 438-5612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Other - PUTPATIENT MENTAL HLTH CL
Lab Director MICHAEL DURRY

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