21D2000063 CLIA NUMBER - ATLANTIC ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 21D2000063
  • Facility Name: ATLANTIC ENDOSCOPY CENTER
  • Facility Address: 10231 OLD OCEAN CITY BLVD SUITE 205
    BERLIN, MD
    ZIP 21811
  • Facility Phone: 410 641-9362
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. LEE KLEPPER
  • NPI Number: 1710944848
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2000063
LAB Type Ambulatory Surgery Center
Facility Name ATLANTIC ENDOSCOPY CENTER
Street 10231 OLD OCEAN CITY BLVD SUITE 205
City BERLIN
State MD
ZIP 21811
Phone 410 641-9362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. LEE KLEPPER

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