21D2328972 CLIA NUMBER - HOWARD COUNTY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2328972
  • Facility Name: HOWARD COUNTY SURGERY CENTER LLC
  • Facility Address: 2470 LONGSTONE LANE #M
    MARRIOTTSVILLE, MD
    ZIP 21104
  • Facility Phone: 443 920-5550
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. KE XIE
  • NPI Number: 1205620705
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2328972
LAB Type Ambulatory Surgery Center
Facility Name HOWARD COUNTY SURGERY CENTER LLC
Street 2470 LONGSTONE LANE #M
City MARRIOTTSVILLE
State MD
ZIP 21104
Phone 443 920-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. KE XIE

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