CLIA lab

CLIA 21D1102722: Summit Ambulatory Surgical Center LLC

Hanover, MD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 21D1102722 belongs to Summit Ambulatory Surgical Center LLC in Hanover, MD.

Certificate of Waiver, effective July 23, 2025, expires July 22, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 23, 2025
Certificate expiration
July 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 23, 2009
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
21D1102722
Lab name
Summit Ambulatory Surgical Center LLC
Address
7580 Buckingham Blvd, Suite 100, Hanover, MD 21076
Phone
(410) 760-9400
Fax
(410) 787-1911

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Summit Ambulatory Surgical Center LLC in Hanover?

21D1102722, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Summit Ambulatory Surgical Center LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 21D1102722 expire?

The CMS file lists July 22, 2027 as the certificate expiration date; the certificate took effect July 23, 2025.

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