21D2068657 CLIA NUMBER - MONOCACY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 21D2068657
  • Facility Name: MONOCACY SURGERY CENTER, LLC
  • Facility Address: 4991 NEW DESIGN ROAD SUITE 103
    FREDERICK, MD
    ZIP 21703
  • Facility Phone: 301 636-5858
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KIRBY J. SCOTT MD
  • NPI Number: 1821421256
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2068657
LAB Type Ambulatory Surgery Center
Facility Name MONOCACY SURGERY CENTER, LLC
Street 4991 NEW DESIGN ROAD SUITE 103
City FREDERICK
State MD
ZIP 21703
Phone 301 636-5858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Ambulatory Surgery Center
Lab Director KIRBY J. SCOTT MD

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