21D0220515 CLIA NUMBER - IRFAN W HASSEN MD

Laboratory Demographics

  • CLIA Code: 21D0220515
  • Facility Name: IRFAN W HASSEN MD
  • Facility Address: 801 TOLL HOUSE AVE SUITE D2
    FREDERICK, MD
    ZIP 21701
  • Facility Phone: 301 698-2604
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRFAN W. HASSEN
  • NPI Number: 1073538849
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0220515
LAB Type Physician Office
Facility Name IRFAN W HASSEN MD
Street 801 TOLL HOUSE AVE SUITE D2
City FREDERICK
State MD
ZIP 21701
Phone 301 698-2604
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director IRFAN W. HASSEN

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