21D0950079 CLIA NUMBER - PINEY ORCHARD SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D0950079
  • Facility Name: PINEY ORCHARD SURGERY CENTER LLC
  • Facility Address: 1132 ANNAPOLIS ROAD SUITE 103
    ODENTON, MD
    ZIP 21113
  • Facility Phone: 410 674-0020
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MARC HAMBURGER
  • NPI Number: 1780618801
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0950079
LAB Type Ambulatory Surgery Center
Facility Name PINEY ORCHARD SURGERY CENTER LLC
Street 1132 ANNAPOLIS ROAD SUITE 103
City ODENTON
State MD
ZIP 21113
Phone 410 674-0020
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 DR. MARC HAMBURGER

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