21D1102727 CLIA NUMBER - SUMMIT AMBULATORY SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D1102727
  • Facility Name: SUMMIT AMBULATORY SURGICAL CENTER LLC
  • Facility Address: 6820 HOSPITAL DRIVE STE 200
    BALTIMORE, MD
    ZIP 21237
  • Facility Phone: 410 391-6131
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRAD D. LERNER MD
  • NPI Number: 1679871701
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1102727
LAB Type Ambulatory Surgery Center
Facility Name SUMMIT AMBULATORY SURGICAL CENTER LLC
Street 6820 HOSPITAL DRIVE STE 200
City BALTIMORE
State MD
ZIP 21237
Phone 410 391-6131
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