21D1070108 CLIA NUMBER - WILL SURGICAL ARTS

Laboratory Demographics

  • CLIA Code: 21D1070108
  • Facility Name: WILL SURGICAL ARTS
  • Facility Address: 3280 URBANA PIKE SUITE 201
    IJAMSVILLE, MD
    ZIP 21754
  • Facility Phone: 301 874-1707
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. WILL
  • NPI Number: 1184681405
  • Taxonomy: 204E00000X - Oral & Maxillofacial Surgery

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CLIA Record

Field Name Field Value
CLIA Number 21D1070108
LAB Type Ambulatory Surgery Center
Facility Name WILL SURGICAL ARTS
Street 3280 URBANA PIKE SUITE 201
City IJAMSVILLE
State MD
ZIP 21754
Phone 301 874-1707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL J. WILL

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