21D0920337 CLIA NUMBER - BEL AIR ENDOSCOPY ASC,LLC DBA HARFORD ENDO CTR

Laboratory Demographics

  • CLIA Code: 21D0920337
  • Facility Name: BEL AIR ENDOSCOPY ASC,LLC DBA HARFORD ENDO CTR
  • Facility Address: 2214 OLD EMMORTON RD SUITE 100
    BEL AIR, MD
    ZIP 21015
  • Facility Phone: 410 838-6345
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VEDAPURISAN VISWANATHAN
  • NPI Number: 1730152869
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0920337
LAB Type Ambulatory Surgery Center
Facility Name BEL AIR ENDOSCOPY ASC,LLC DBA HARFORD ENDO CTR
Street 2214 OLD EMMORTON RD SUITE 100
City BEL AIR
State MD
ZIP 21015
Phone 410 838-6345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Ambulatory Surgery Center
Lab Director VEDAPURISAN VISWANATHAN

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