21D2284970 CLIA NUMBER - ADVANCED AMBULATORY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2284970
  • Facility Name: ADVANCED AMBULATORY SURGERY CENTER LLC
  • Facility Address: 5530 WISCONSIN AVE #1201
    CHEVY CHASE, MD
    ZIP 20815
  • Facility Phone: 301 652-1231
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. SHOBHA SIKKA
  • NPI Number: 1841939535
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2284970
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED AMBULATORY SURGERY CENTER LLC
Street 5530 WISCONSIN AVE #1201
City CHEVY CHASE
State MD
ZIP 20815
Phone 301 652-1231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. SHOBHA SIKKA

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