21D2004660 CLIA NUMBER - PICCARD SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2004660
  • Facility Name: PICCARD SURGERY CENTER LLC
  • Facility Address: 1330 PICCARD DRIVE SUITE 102
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 208-7350
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ANDRE GAZDAG
  • NPI Number: 1023349909
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2004660
LAB Type Ambulatory Surgery Center
Facility Name PICCARD SURGERY CENTER LLC
Street 1330 PICCARD DRIVE SUITE 102
City ROCKVILLE
State MD
ZIP 20850
Phone 301 208-7350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. ANDRE GAZDAG

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