21D2063362 CLIA NUMBER - CEC SURGICAL SERVICES LLC

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Laboratory Demographics

CLIA Number: 21D2063362

Facility Name: CEC SURGICAL SERVICES LLC

Facility Address:
1414 SOUTH SALISBURY BLVD
SALISBURY, MD
ZIP 21801
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Facility Phone Number: 410 749-1191

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1194163576

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2063362
LAB Type	Ambulatory Surgery Center
Facility Name	CEC SURGICAL SERVICES LLC
Street	1414 SOUTH SALISBURY BLVD
City	SALISBURY
State	MD
ZIP	21801
Phone	410 749-1191
CertificateType	4
CertificateEffectiveDate	8/1/2023
CertificateExpirationDate	7/31/2025
FacilityType	Waiver

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