21D2113421 CLIA NUMBER - GLEN ECHO SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2113421
  • Facility Name: GLEN ECHO SURGERY CENTER LLC
  • Facility Address: 5550 FRIENDSHIP BLVD STE 100
    CHEVY CHASE, MD
    ZIP 20815
  • Facility Phone: 561 289-6893
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. JOHN C. ELKAS
  • NPI Number: 1356704027
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2113421
LAB Type Ambulatory Surgery Center
Facility Name GLEN ECHO SURGERY CENTER LLC
Street 5550 FRIENDSHIP BLVD STE 100
City CHEVY CHASE
State MD
ZIP 20815
Phone 561 289-6893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. JOHN C. ELKAS

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