21D2150410 CLIA NUMBER - MID ATLANTIC RETINA SPECIALISTS

Laboratory Demographics

  • CLIA Code: 21D2150410
  • Facility Name: MID ATLANTIC RETINA SPECIALISTS
  • Facility Address: 246 EASTERN BOULEVARD N SUITE 102
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 301 671-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM T. GERSTENBLITH MD
  • NPI Number: 1205857349
  • Taxonomy: 207WX0107X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 21D2150410
LAB Type Physician Office
Facility Name MID ATLANTIC RETINA SPECIALISTS
Street 246 EASTERN BOULEVARD N SUITE 102
City HAGERSTOWN
State MD
ZIP 21740
Phone 301 671-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Physician Office
Lab Director ADAM T. GERSTENBLITH MD

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