21D2099111 CLIA NUMBER - POTOMAC VIEW SURGERY CENTER

Home > CLIA Lookup > 21D2099111

Laboratory Demographics

CLIA Number: 21D2099111

Facility Name: POTOMAC VIEW SURGERY CENTER

Facility Address:
6710 OXON HILL ROAD SUITE 150
OXON HILL, MD
ZIP 20745
Get Directions

Facility Phone Number: 254 630-7345

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1568867075

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2099111
LAB Type	Ambulatory Surgery Center
Facility Name	POTOMAC VIEW SURGERY CENTER
Street	6710 OXON HILL ROAD SUITE 150
City	OXON HILL
State	MD
ZIP	20745
Phone	254 630-7345
CertificateType	4
CertificateEffectiveDate	7/21/2023
CertificateExpirationDate	7/20/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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