21D2089775 CLIA NUMBER - ADVANCED CENTER FOR PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 21D2089775
  • Facility Name: ADVANCED CENTER FOR PLASTIC SURGERY
  • Facility Address: 12205 TULLAMORE ROAD
    TIMONIUM, MD
    ZIP 21093
  • Facility Phone: 410 308-4700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BEVERLY A. FISCHER
  • NPI Number: 1770501330
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 21D2089775
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED CENTER FOR PLASTIC SURGERY
Street 12205 TULLAMORE ROAD
City TIMONIUM
State MD
ZIP 21093
Phone 410 308-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Ambulatory Surgery Center
Lab Director BEVERLY A. FISCHER

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