21D2169660 CLIA NUMBER - SYNERGY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 21D2169660
  • Facility Name: SYNERGY SURGERY CENTER
  • Facility Address: 12150 ANNAPOLIS ROAD #209
    GLENN DALE, MD
    ZIP 20769
  • Facility Phone: 240 929-6652
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MADHAVI CHADA
  • NPI Number: 1295241818
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2169660
LAB Type Ambulatory Surgery Center
Facility Name SYNERGY SURGERY CENTER
Street 12150 ANNAPOLIS ROAD #209
City GLENN DALE
State MD
ZIP 20769
Phone 240 929-6652
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. MADHAVI CHADA

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