21D2286684 CLIA NUMBER - ASC DEVELOPMENT COMPANY LLC

Laboratory Demographics

  • CLIA Code: 21D2286684
  • Facility Name: ASC DEVELOPMENT COMPANY LLC
  • Facility Address: 1838 GREENE TREE RD SUITE 150
    PIKESVILLE, MD
    ZIP 21208
  • Facility Phone: 410 383-7443
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK COLEMAN
  • NPI Number: 1215185335
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2286684
LAB Type Ambulatory Surgery Center
Facility Name ASC DEVELOPMENT COMPANY LLC
Street 1838 GREENE TREE RD SUITE 150
City PIKESVILLE
State MD
ZIP 21208
Phone 410 383-7443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Ambulatory Surgery Center
Lab Director MARK COLEMAN

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