21D2149099 CLIA NUMBER - GEMINI ASC-ELKRIDGE

Laboratory Demographics

  • CLIA Code: 21D2149099
  • Facility Name: GEMINI ASC-ELKRIDGE
  • 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: 1285149567
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2149099
LAB Type Ambulatory Surgery Center
Facility Name GEMINI ASC-ELKRIDGE
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 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Ambulatory Surgery Center
Lab Director SUDHIR R. RAO MD

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