21D2148773 CLIA NUMBER - ELKRIDGE ASC, LLC

Laboratory Demographics

  • CLIA Code: 21D2148773
  • Facility Name: ELKRIDGE ASC, LLC
  • Facility Address: 6816 DEERPATH ROAD
    ELKRIDGE, MD
    ZIP 21075
  • Facility Phone: 301 703-8767
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SUDHIR R. RAO MD
  • NPI Number: 1487169769
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2148773
LAB Type Ambulatory Surgery Center
Facility Name ELKRIDGE ASC, LLC
Street 6816 DEERPATH ROAD
City ELKRIDGE
State MD
ZIP 21075
Phone 301 703-8767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Ambulatory Surgery Center
Lab Director SUDHIR R. RAO MD

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