21D2118380 CLIA NUMBER - OLNEY ENDOSCOPY CENTER

Laboratory Demographics

CLIA Number: 21D2118380

Facility Name: OLNEY ENDOSCOPY CENTER

Facility Address:
3405 OLANDWOOD COURT SUITE 102
OLNEY, MD
ZIP 20832
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Facility Phone Number: 301 570-8671

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1225490196

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2118380
LAB Type	Ambulatory Surgery Center
Facility Name	OLNEY ENDOSCOPY CENTER
Street	3405 OLANDWOOD COURT SUITE 102
City	OLNEY
State	MD
ZIP	20832
Phone	301 570-8671
CertificateType	4
CertificateEffectiveDate	9/7/2022
CertificateExpirationDate	9/6/2024
FacilityType	Waiver

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