21D2286703 CLIA NUMBER - ASC DEVELOPMENT COMPANY LLC

Laboratory Demographics

  • CLIA Code: 21D2286703
  • Facility Name: ASC DEVELOPMENT COMPANY LLC
  • Facility Address: 1150 PROFESSIONAL COURT SUITE P
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 301 665-9696
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALI EL-MOHANDES
  • NPI Number: 1942458062
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2286703
LAB Type Physician Office
Facility Name ASC DEVELOPMENT COMPANY LLC
Street 1150 PROFESSIONAL COURT SUITE P
City HAGERSTOWN
State MD
ZIP 21740
Phone 301 665-9696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director ALI EL-MOHANDES

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