21D1102716 CLIA NUMBER - SUMMIT AMBULATORY SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D1102716
  • Facility Name: SUMMIT AMBULATORY SURGICAL CENTER LLC
  • Facility Address: 21 CROSSROADS DRIVE SUITE 220
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 410 581-1600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRAD D. LERNER MD
  • NPI Number: 1295923670
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1102716
LAB Type Ambulatory Surgery Center
Facility Name SUMMIT AMBULATORY SURGICAL CENTER LLC
Street 21 CROSSROADS DRIVE SUITE 220
City OWINGS MILLS
State MD
ZIP 21117
Phone 410 581-1600
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