21D2232105 CLIA NUMBER - AAU GREENBELT ASC LLC

Laboratory Demographics

  • CLIA Code: 21D2232105
  • Facility Name: AAU GREENBELT ASC LLC
  • Facility Address: 7855 WALKER DRIVE SUITE 102
    GREENBELT, MD
    ZIP 20770
  • Facility Phone: 410 266-8049
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KENT KREJCI
  • NPI Number: 1487239059
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2232105
LAB Type Ambulatory Surgery Center
Facility Name AAU GREENBELT ASC LLC
Street 7855 WALKER DRIVE SUITE 102
City GREENBELT
State MD
ZIP 20770
Phone 410 266-8049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Ambulatory Surgery Center
Lab Director KENT KREJCI

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