21D2075400 CLIA NUMBER - CHECKERSPOT SURGERY CENTERS LLC

Laboratory Demographics

  • CLIA Code: 21D2075400
  • Facility Name: CHECKERSPOT SURGERY CENTERS LLC
  • Facility Address: 1130 ANNAPOLIS ROAD SUITE 102
    ODENTON, MD
    ZIP 21113
  • Facility Phone: 410 672-2255
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JANAK A. VIDYARTHI
  • NPI Number: 1447685458
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2075400
LAB Type Ambulatory Surgery Center
Facility Name CHECKERSPOT SURGERY CENTERS LLC
Street 1130 ANNAPOLIS ROAD SUITE 102
City ODENTON
State MD
ZIP 21113
Phone 410 672-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2024
Certificate Expiration Date 3/26/2026
Facility Type Ambulatory Surgery Center
Lab Director JANAK A. VIDYARTHI

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