21D1010029 CLIA NUMBER - ENDOCENTRE AT QUARTERFIELD STATION

Laboratory Demographics

  • CLIA Code: 21D1010029
  • Facility Name: ENDOCENTRE AT QUARTERFIELD STATION
  • Facility Address: 7704 QUARTERFIELD RD SUITE A
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 863-4899
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: EDWARD J. WOLF MD
  • NPI Number: 1205013273
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1010029
LAB Type Ambulatory Surgery Center
Facility Name ENDOCENTRE AT QUARTERFIELD STATION
Street 7704 QUARTERFIELD RD SUITE A
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 863-4899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Ambulatory Surgery Center
Lab Director EDWARD J. WOLF MD

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