21D0925144 CLIA NUMBER - SILVER SPRING MD ENDOSCOPY ASC LLC

Laboratory Demographics

CLIA Number: 21D0925144

Facility Name: SILVER SPRING MD ENDOSCOPY ASC LLC

Facility Address:
10801 LOCKWOOD DRIVE SUITE 110
SILVER SPRING, MD
ZIP 20901
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Facility Phone Number: 301 593-5110

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1770645905

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D0925144
LAB Type	Ambulatory Surgery Center
Facility Name	SILVER SPRING MD ENDOSCOPY ASC LLC
Street	10801 LOCKWOOD DRIVE SUITE 110
City	SILVER SPRING
State	MD
ZIP	20901
Phone	301 593-5110
CertificateType	4
CertificateEffectiveDate	2/19/2023
CertificateExpirationDate	2/18/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024