21D1102728 CLIA NUMBER - SUMMIT AMBULATORY SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D1102728
  • Facility Name: SUMMIT AMBULATORY SURGICAL CENTER LLC
  • Facility Address: 3333 N CALVERT STREET STE 600
    BALTIMORE, MD
    ZIP 21218
  • Facility Phone: (410) 467-7665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRAD D. LERNER MD
  • NPI Number: 1518154517
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1102728
LAB Type Physician Office
Facility Name SUMMIT AMBULATORY SURGICAL CENTER LLC
Street 3333 N CALVERT STREET STE 600
City BALTIMORE
State MD
ZIP 21218
Phone 4104677665
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 Physician Office
Lab Director BRAD D. LERNER MD

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This page was last updated on: 5/18/2026