21D0921207 CLIA NUMBER - ANNE ARUNDEL DIGESTIVE CENTER

Laboratory Demographics

  • CLIA Code: 21D0921207
  • Facility Name: ANNE ARUNDEL DIGESTIVE CENTER
  • Facility Address: 8028 RITCHIE HIGHWAY SUITE 142
    PASADENA, MD
    ZIP 21122
  • Facility Phone: 410 766-1012
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALIF MANEJWALA
  • NPI Number: 1740387257
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0921207
LAB Type Ambulatory Surgery Center
Facility Name ANNE ARUNDEL DIGESTIVE CENTER
Street 8028 RITCHIE HIGHWAY SUITE 142
City PASADENA
State MD
ZIP 21122
Phone 410 766-1012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Ambulatory Surgery Center
Lab Director ALIF MANEJWALA

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