21D2015560 CLIA NUMBER - POA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 21D2015560
  • Facility Name: POA SURGERY CENTER
  • Facility Address: 641 S. SALISBURY BLVD
    SALISBURY, MD
    ZIP 21801
  • Facility Phone: 410 341-9002
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS BRANDON
  • NPI Number: 1689986879
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2015560
LAB Type Ambulatory Surgery Center
Facility Name POA SURGERY CENTER
Street 641 S. SALISBURY BLVD
City SALISBURY
State MD
ZIP 21801
Phone 410 341-9002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. THOMAS BRANDON

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