21D1021732 CLIA NUMBER - CARROLL COUNTY EYE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D1021732
  • Facility Name: CARROLL COUNTY EYE SURGERY CENTER LLC
  • Facility Address: 410 MALCOLM DRIVE STE B
    WESTMINSTER, MD
    ZIP 21157
  • Facility Phone: 410 871-3438
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT F. FRIEDMAN
  • NPI Number: 1255390670
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1021732
LAB Type Ambulatory Surgery Center
Facility Name CARROLL COUNTY EYE SURGERY CENTER LLC
Street 410 MALCOLM DRIVE STE B
City WESTMINSTER
State MD
ZIP 21157
Phone 410 871-3438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT F. FRIEDMAN

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