21D2300159 CLIA NUMBER - METRO DC SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2300159
  • Facility Name: METRO DC SURGERY CENTER LLC
  • Facility Address: 4155 BLADENSBURG ROAD
    COLMAR MANOR, MD
    ZIP 20722
  • Facility Phone: (301) 277-1545
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FARIS HAKKI
  • NPI Number: 1679343404
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2300159
LAB Type Ambulatory Surgery Center
Facility Name METRO DC SURGERY CENTER LLC
Street 4155 BLADENSBURG ROAD
City COLMAR MANOR
State MD
ZIP 20722
Phone 3012771545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2026
Certificate Expiration Date 3/4/2028
Facility Type Ambulatory Surgery Center
Lab Director FARIS HAKKI

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This page was last updated on: 5/18/2026