21D1102705 CLIA NUMBER - SUMMIT AMBULATORY SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D1102705
  • Facility Name: SUMMIT AMBULATORY SURGICAL CENTER LLC
  • Facility Address: 410 MALCOLM DR SUITE A
    WESTMINSTER, MD
    ZIP 21157
  • Facility Phone: 410 876-1633
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRAD D. LERNER MD
  • NPI Number: 1114196151
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1102705
LAB Type Ambulatory Surgery Center
Facility Name SUMMIT AMBULATORY SURGICAL CENTER LLC
Street 410 MALCOLM DR SUITE A
City WESTMINSTER
State MD
ZIP 21157
Phone 410 876-1633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Ambulatory Surgery Center
Lab Director BRAD D. LERNER MD

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