21D1048999 CLIA NUMBER - MID-ATLANTIC SURGERY PAVILION

Laboratory Demographics

  • CLIA Code: 21D1048999
  • Facility Name: MID-ATLANTIC SURGERY PAVILION
  • Facility Address: 1111 BEARDS HILL ROAD STE 700
    ABERDEEN, MD
    ZIP 21001
  • Facility Phone: 410 935-5194
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JONATHAN A. SEIDENBERG
  • NPI Number: 1922055235
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1048999
LAB Type Ambulatory Surgery Center
Facility Name MID-ATLANTIC SURGERY PAVILION
Street 1111 BEARDS HILL ROAD STE 700
City ABERDEEN
State MD
ZIP 21001
Phone 410 935-5194
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Ambulatory Surgery Center
Lab Director JONATHAN A. SEIDENBERG

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