21D1035904 CLIA NUMBER - SNOWDEN RIVER SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D1035904
  • Facility Name: SNOWDEN RIVER SURGERY CENTER LLC
  • Facility Address: 6011 UNIVERSITY BLVD STE 190
    ELLICOTT CITY, MD
    ZIP 21043
  • Facility Phone: 410 461-0960
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY L. WEXLER
  • NPI Number: 1447258603
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D1035904
LAB Type Ambulatory Surgery Center
Facility Name SNOWDEN RIVER SURGERY CENTER LLC
Street 6011 UNIVERSITY BLVD STE 190
City ELLICOTT CITY
State MD
ZIP 21043
Phone 410 461-0960
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. JEFFREY L. WEXLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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