21D2023952 CLIA NUMBER - BETHESDA CHEVY CHASE SURGERY CENTER, LLC

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Laboratory Demographics

CLIA Number: 21D2023952

Facility Name: BETHESDA CHEVY CHASE SURGERY CENTER, LLC

Facility Address:
6931 ARLINGTON ROAD, SUITE E
BETHESDA, MD
ZIP 20814
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Facility Phone Number: 301 968-3184

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1134431323

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2023952
LAB Type	Ambulatory Surgery Center
Facility Name	BETHESDA CHEVY CHASE SURGERY CENTER, LLC
Street	6931 ARLINGTON ROAD, SUITE E
City	BETHESDA
State	MD
ZIP	20814
Phone	301 968-3184
CertificateType	4
CertificateEffectiveDate	5/5/2023
CertificateExpirationDate	5/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024