21D0220533 CLIA NUMBER - WILLIAM H JOHNSON MD PA

Laboratory Demographics

  • CLIA Code: 21D0220533
  • Facility Name: WILLIAM H JOHNSON MD PA
  • Facility Address: 140 THOMAS JOHNSON DR STE 202
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 694-7788
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM H. JOHNSON MD
  • NPI Number: 1134118326
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0220533
LAB Type Physician Office
Facility Name WILLIAM H JOHNSON MD PA
Street 140 THOMAS JOHNSON DR STE 202
City FREDERICK
State MD
ZIP 21702
Phone 301 694-7788
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director WILLIAM H. JOHNSON MD

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