21D2147745 CLIA NUMBER - LUTHERVILLE SURGERY CENTER, LLC DBA SURGCENTER OF

Laboratory Demographics

  • CLIA Code: 21D2147745
  • Facility Name: LUTHERVILLE SURGERY CENTER, LLC DBA SURGCENTER OF
  • Facility Address: 1609 E JOPPA RD
    TOWSON, MD
    ZIP 21286
  • Facility Phone: 410 834-5600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRENDAN J. COLLINS
  • NPI Number: 1609375682
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2147745
LAB Type Ambulatory Surgery Center
Facility Name LUTHERVILLE SURGERY CENTER, LLC DBA SURGCENTER OF
Street 1609 E JOPPA RD
City TOWSON
State MD
ZIP 21286
Phone 410 834-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Ambulatory Surgery Center
Lab Director BRENDAN J. COLLINS

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