21D2129486 CLIA NUMBER - ABINGDON SURGICAL CENTER PC

Laboratory Demographics

CLIA Number: 21D2129486

Facility Name: ABINGDON SURGICAL CENTER PC

Facility Address:
3401 BOX HILL CORPORATE CENTER DRIVE, SUITE 204
ABINGDON, MD
ZIP 21009
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Facility Phone Number: 410 569-0445

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1033560420

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2129486
LAB Type	Ambulatory Surgery Center
Facility Name	ABINGDON SURGICAL CENTER PC
Street	3401 BOX HILL CORPORATE CENTER DRIVE, SUITE 204
City	ABINGDON
State	MD
ZIP	21009
Phone	410 569-0445
CertificateType	4
CertificateEffectiveDate	7/27/2023
CertificateExpirationDate	7/26/2025
FacilityType	Waiver

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