21D0932904 CLIA NUMBER - WALDORF ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 21D0932904
  • Facility Name: WALDORF ENDOSCOPY CENTER
  • Facility Address: 3510 OLD WASHINGTON ROAD SUITE 200
    WALDORF, MD
    ZIP 20602
  • Facility Phone: 301 638-5354
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. LORNETTE B. MILLS MD
  • NPI Number: 1003889379
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0932904
LAB Type Ambulatory Surgery Center
Facility Name WALDORF ENDOSCOPY CENTER
Street 3510 OLD WASHINGTON ROAD SUITE 200
City WALDORF
State MD
ZIP 20602
Phone 301 638-5354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. LORNETTE B. MILLS MD

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