21D2277663 CLIA NUMBER - BRIDGE SURGICAL ARTS

Laboratory Demographics

  • CLIA Code: 21D2277663
  • Facility Name: BRIDGE SURGICAL ARTS
  • Facility Address: 7226 LEE DEFOREST DR SUITE 205
    COLUMBIA, MD
    ZIP 21046
  • Facility Phone: 410 999-8584
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AHMED TAMIM
  • NPI Number: 1326794041
  • Taxonomy: 1223S0112X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2277663
LAB Type Ambulatory Surgery Center
Facility Name BRIDGE SURGICAL ARTS
Street 7226 LEE DEFOREST DR SUITE 205
City COLUMBIA
State MD
ZIP 21046
Phone 410 999-8584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Ambulatory Surgery Center
Lab Director AHMED TAMIM

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: 3/20/2025