21D2299360 CLIA NUMBER - MEDSTAR HEALTH SURGERY CENTER AT ANNAPOLIS

Laboratory Demographics

  • CLIA Code: 21D2299360
  • Facility Name: MEDSTAR HEALTH SURGERY CENTER AT ANNAPOLIS
  • Facility Address: 810 BESTGATE RD #300
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 443 782-7611
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. DWAIN A. SKINNER
  • NPI Number: 1396423737
  • Taxonomy: 261QR0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2299360
LAB Type Ambulatory Surgery Center
Facility Name MEDSTAR HEALTH SURGERY CENTER AT ANNAPOLIS
Street 810 BESTGATE RD #300
City ANNAPOLIS
State MD
ZIP 21401
Phone 443 782-7611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. DWAIN A. SKINNER

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