21D2159746 CLIA NUMBER - INNOVATIVE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 21D2159746
  • Facility Name: INNOVATIVE SURGERY CENTER
  • Facility Address: 253 LEWIS LANE SUITE 301
    HAVRE DE GRACE, MD
    ZIP 21078
  • Facility Phone: 410 942-0620
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HYON K. SCHNEIDER MD
  • NPI Number: 1881002343
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2159746
LAB Type Ambulatory Surgery Center
Facility Name INNOVATIVE SURGERY CENTER
Street 253 LEWIS LANE SUITE 301
City HAVRE DE GRACE
State MD
ZIP 21078
Phone 410 942-0620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Ambulatory Surgery Center
Lab Director HYON K. SCHNEIDER MD

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