21D2254872 CLIA NUMBER - BALTIMORE SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 21D2254872
  • Facility Name: BALTIMORE SURGERY CENTER, LLC
  • Facility Address: 3421 BENSON AVENUE, SUITE G100
    BALTIMORE, MD
    ZIP 21227
  • Facility Phone: 410 417-7777
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT DYER
  • NPI Number: 1124845391
  • Taxonomy: 122300000X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2254872
LAB Type Ambulatory Surgery Center
Facility Name BALTIMORE SURGERY CENTER, LLC
Street 3421 BENSON AVENUE, SUITE G100
City BALTIMORE
State MD
ZIP 21227
Phone 410 417-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Ambulatory Surgery Center
Lab Director ROBERT DYER

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