21D1054041 CLIA NUMBER - PARKWAY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 21D1054041
  • Facility Name: PARKWAY SURGERY CENTER
  • Facility Address: 17 WESTERN MARYLAND PKWY #102
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 240 240-0192
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIAN HOLMES MD
  • NPI Number: 1821036534
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1054041
LAB Type Ambulatory Surgery Center
Facility Name PARKWAY SURGERY CENTER
Street 17 WESTERN MARYLAND PKWY #102
City HAGERSTOWN
State MD
ZIP 21740
Phone 240 240-0192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Ambulatory Surgery Center
Lab Director BRIAN HOLMES MD

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