21D1098278 CLIA NUMBER - EYE SURGERY CENTER OF WHITE MARSH

Laboratory Demographics

  • CLIA Code: 21D1098278
  • Facility Name: EYE SURGERY CENTER OF WHITE MARSH
  • Facility Address: 9512 HARFORD ROAD SUITE 5
    BALTIMORE, MD
    ZIP 21234
  • Facility Phone: 410 663-4466
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT A. LOEB
  • NPI Number: 1336288224
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1098278
LAB Type Ambulatory Surgery Center
Facility Name EYE SURGERY CENTER OF WHITE MARSH
Street 9512 HARFORD ROAD SUITE 5
City BALTIMORE
State MD
ZIP 21234
Phone 410 663-4466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Ambulatory Surgery Center
Lab Director ROBERT A. LOEB

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