21D2055230 CLIA NUMBER - GREENBELT AMBULATORY SURGERY LP

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Laboratory Demographics

CLIA Number: 21D2055230

Facility Name: GREENBELT AMBULATORY SURGERY LP

Facility Address:
7809 BELLE POINT DR
GREENBELT, MD
ZIP 20770
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Facility Phone Number: 301 909-5620

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1942233259

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2055230
LAB Type	Ambulatory Surgery Center
Facility Name	GREENBELT AMBULATORY SURGERY LP
Street	7809 BELLE POINT DR
City	GREENBELT
State	MD
ZIP	20770
Phone	301 909-5620
CertificateType	4
CertificateEffectiveDate	3/7/2023
CertificateExpirationDate	3/6/2025
FacilityType	Waiver

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