21D1012034 CLIA NUMBER - CUMBERLAND VALLEY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 21D1012034
  • Facility Name: CUMBERLAND VALLEY SURGERY CENTER
  • Facility Address: 1110 PROFESSIONAL COURT
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 123 123-1236
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD MILFORD
  • NPI Number: 1730670456
  • Taxonomy: 163WL0100X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 21D1012034
LAB Type Ambulatory Surgery Center
Facility Name CUMBERLAND VALLEY SURGERY CENTER
Street 1110 PROFESSIONAL COURT
City HAGERSTOWN
State MD
ZIP 21740
Phone 123 123-1236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Ambulatory Surgery Center
Lab Director RICHARD MILFORD

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