21D1097792 CLIA NUMBER - HARBOR SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 21D1097792
  • Facility Name: HARBOR SURGERY CENTER
  • Facility Address: 120 WATERFRONT STREET SUITE 400
    OXON HILL, MD
    ZIP 20745
  • Facility Phone: 301 567-6767
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL F. CHIARAMONTE
  • NPI Number: 1114173895
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1097792
LAB Type Ambulatory Surgery Center
Facility Name HARBOR SURGERY CENTER
Street 120 WATERFRONT STREET SUITE 400
City OXON HILL
State MD
ZIP 20745
Phone 301 567-6767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL F. CHIARAMONTE

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