21D2326284 CLIA NUMBER - EASTERN SHORE PRIMARY CARE & WELLNESS

Laboratory Demographics

  • CLIA Code: 21D2326284
  • Facility Name: EASTERN SHORE PRIMARY CARE & WELLNESS
  • Facility Address: 204 CEDAR STREET STE 101
    CAMBRIDGE, MD
    ZIP 21613
  • Facility Phone: 410 936-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN MELSON JR
  • NPI Number: 1073496063
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2326284
LAB Type Physician Office
Facility Name EASTERN SHORE PRIMARY CARE & WELLNESS
Street 204 CEDAR STREET STE 101
City CAMBRIDGE
State MD
ZIP 21613
Phone 410 936-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director MARTIN MELSON JR

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