21D2230266 CLIA NUMBER - CIVISTA CLINICAL SERVICES LLC DBA UMCRMG ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 21D2230266
  • Facility Name: CIVISTA CLINICAL SERVICES LLC DBA UMCRMG ENDOSCOPY
  • Facility Address: 5 N LA PLATA COURT SUITE 201
    LA PLATA, MD
    ZIP 20646
  • Facility Phone: 301 609-4510
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JOSEPH MURPHY
  • NPI Number: 1831417476
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2230266
LAB Type Ambulatory Surgery Center
Facility Name CIVISTA CLINICAL SERVICES LLC DBA UMCRMG ENDOSCOPY
Street 5 N LA PLATA COURT SUITE 201
City LA PLATA
State MD
ZIP 20646
Phone 301 609-4510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Ambulatory Surgery Center
Lab Director JOSEPH MURPHY

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