21D0950076 CLIA NUMBER - SILVER SPRING OPHTHAMOLOGY LLC

Laboratory Demographics

  • CLIA Code: 21D0950076
  • Facility Name: SILVER SPRING OPHTHAMOLOGY LLC
  • Facility Address: 8630 FENTON STREET SUITE 800
    SILVER SPRING, MD
    ZIP 20910
  • Facility Phone: 301 585-8880
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STACY J. BANG
  • NPI Number: 1003853136
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0950076
LAB Type Ambulatory Surgery Center
Facility Name SILVER SPRING OPHTHAMOLOGY LLC
Street 8630 FENTON STREET SUITE 800
City SILVER SPRING
State MD
ZIP 20910
Phone 301 585-8880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Ambulatory Surgery Center
Lab Director STACY J. BANG

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