25D0719953 CLIA NUMBER - PENINSULA HOME CARE

Laboratory Demographics

  • CLIA Code: 25D0719953
  • Facility Name: PENINSULA HOME CARE
  • Facility Address: 1001 MT HERMON ROAD SUITE 200
    SALISBURY, MD
    ZIP 21804
  • Facility Phone: 410 543-7550
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. VEL NATESAN
  • NPI Number: 1811976418
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D0719953
LAB Type Home Health Agency
Facility Name PENINSULA HOME CARE
Street 1001 MT HERMON ROAD SUITE 200
City SALISBURY
State MD
ZIP 21804
Phone 410 543-7550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Home Health Agency
Lab Director DR. VEL NATESAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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