21D2211085 CLIA NUMBER - SUMMIT AMBULATORY SURGICAL CENTER LLC - ANNAPOLIS

Laboratory Demographics

  • CLIA Code: 21D2211085
  • Facility Name: SUMMIT AMBULATORY SURGICAL CENTER LLC - ANNAPOLIS
  • Facility Address: 810 BESTGATE DRIVE #200
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 443 738-8170
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. BRAD D. LERNER
  • NPI Number: 1215548524
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2211085
LAB Type Ambulatory Surgery Center
Facility Name SUMMIT AMBULATORY SURGICAL CENTER LLC - ANNAPOLIS
Street 810 BESTGATE DRIVE #200
City ANNAPOLIS
State MD
ZIP 21401
Phone 443 738-8170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. BRAD D. LERNER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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