21D1039870 CLIA NUMBER - CENTRAL MARYLAND ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 21D1039870
  • Facility Name: CENTRAL MARYLAND ENDOSCOPY
  • Facility Address: 8186 LARK BROWN ROAD #104
    ELKRIDGE, MD
    ZIP 21075
  • Facility Phone: 410 799-0050
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MUKUL KHANDELWAL
  • NPI Number: 1316976137
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1039870
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL MARYLAND ENDOSCOPY
Street 8186 LARK BROWN ROAD #104
City ELKRIDGE
State MD
ZIP 21075
Phone 410 799-0050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Ambulatory Surgery Center
Lab Director MUKUL KHANDELWAL

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