21D2058967 CLIA NUMBER - SGFC SURGERY CNTER, LLC

Laboratory Demographics

  • CLIA Code: 21D2058967
  • Facility Name: SGFC SURGERY CNTER, LLC
  • Facility Address: 901 DULANEY VALLEY ROAD, SUITE 100
    TOWSON, MD
    ZIP 21204
  • Facility Phone: 410 512-8300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JEFFREY L. MCKEEBY
  • NPI Number: 1528307188
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2058967
LAB Type Ambulatory Surgery Center
Facility Name SGFC SURGERY CNTER, LLC
Street 901 DULANEY VALLEY ROAD, SUITE 100
City TOWSON
State MD
ZIP 21204
Phone 410 512-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Ambulatory Surgery Center
Lab Director JEFFREY L. MCKEEBY

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