21D0950076 CLIA NUMBER - SILVER SPRING OPHTHAMOLOGY LLC

Laboratory Demographics

CLIA Number: 21D0950076

Facility Name: SILVER SPRING OPHTHAMOLOGY LLC

Facility Address:
8630 FENTON STREET SUITE 800
SILVER SPRING, MD
ZIP 20910
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Facility Phone Number: 301 585-8880

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1003853136

Taxonomy: 261QS0132X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	8/18/2022
CertificateExpirationDate	8/17/2024
FacilityType	Waiver

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