21D1085741 CLIA NUMBER - PHYSICIANS SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 21D1085741
  • Facility Name: PHYSICIANS SURGERY CENTER
  • Facility Address: 220 CHAMPION DRIVE STE 101
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 240 452-3139
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AUGUSTUS STERN
  • NPI Number: 1235304312
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1085741
LAB Type Ambulatory Surgery Center
Facility Name PHYSICIANS SURGERY CENTER
Street 220 CHAMPION DRIVE STE 101
City HAGERSTOWN
State MD
ZIP 21740
Phone 240 452-3139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Ambulatory Surgery Center
Lab Director AUGUSTUS STERN

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