21D2002985 CLIA NUMBER - PRIVATE SURGICAL SUITE, LLC

Laboratory Demographics

  • CLIA Code: 21D2002985
  • Facility Name: PRIVATE SURGICAL SUITE, LLC
  • Facility Address: 5530 WISCONSIN AVE #1455
    CHEVY CHASE, MD
    ZIP 20815
  • Facility Phone: 301 656-8008
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: THOMAS G. ZORC
  • NPI Number: 1073644399
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2002985
LAB Type Ambulatory Surgery Center
Facility Name PRIVATE SURGICAL SUITE, LLC
Street 5530 WISCONSIN AVE #1455
City CHEVY CHASE
State MD
ZIP 20815
Phone 301 656-8008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Ambulatory Surgery Center
Lab Director THOMAS G. ZORC

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