21D2105370 CLIA NUMBER - LUDWICK LASER AND SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 21D2105370
  • Facility Name: LUDWICK LASER AND SURGERY CENTER
  • Facility Address: 10212 GOVERNOR LANE BLVD SUITE 1004
    WILLIAMSPORT, MD
    ZIP 21795
  • Facility Phone: 301 733-4200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHAWN M. WEIGEL
  • NPI Number: 1447775770
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2105370
LAB Type Ambulatory Surgery Center
Facility Name LUDWICK LASER AND SURGERY CENTER
Street 10212 GOVERNOR LANE BLVD SUITE 1004
City WILLIAMSPORT
State MD
ZIP 21795
Phone 301 733-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Ambulatory Surgery Center
Lab Director SHAWN M. WEIGEL

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