21D2091743 CLIA NUMBER - CLEARWAY SURGERY CENTER AT GERMANTOWN

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Laboratory Demographics

CLIA Number: 21D2091743

Facility Name: CLEARWAY SURGERY CENTER AT GERMANTOWN

Facility Address:
19851 OBSERVATION DR SUITE 350
GERMANTOWN, MD
ZIP 20876
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Facility Phone Number: (410) 205-7667

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1457784852

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2091743
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	CLEARWAY SURGERY CENTER AT GERMANTOWN
Street	19851 OBSERVATION DR SUITE 350
City	GERMANTOWN
State	MD
ZIP	20876
Phone	(410) 205-7667

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This page was last updated on: 5/11/2023