21D0967070 CLIA NUMBER - GYAN C SURANA MD

Laboratory Demographics

  • CLIA Code: 21D0967070
  • Facility Name: GYAN C SURANA MD
  • Facility Address: 5554 MUDDY CREEK RD
    CHURCHTON, MD
    ZIP 20733
  • Facility Phone: 410 867-6700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GYAN C. SURANA MD
  • NPI Number: 1265446694
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0967070
LAB Type Physician Office
Facility Name GYAN C SURANA MD
Street 5554 MUDDY CREEK RD
City CHURCHTON
State MD
ZIP 20733
Phone 410 867-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Physician Office
Lab Director GYAN C. SURANA MD

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