21D0220867 CLIA NUMBER - FREDERICK PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D0220867
  • Facility Name: FREDERICK PRIMARY CARE ASSOCIATES
  • Facility Address: 4014 MOUNTVILLE RD
    JEFFERSON, MD
    ZIP 21755
  • Facility Phone: 301 473-5848
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: J CHRISTOPHER FLEMING MD
  • NPI Number: 1124845797
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0220867
LAB Type Physician Office
Facility Name FREDERICK PRIMARY CARE ASSOCIATES
Street 4014 MOUNTVILLE RD
City JEFFERSON
State MD
ZIP 21755
Phone 301 473-5848
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 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director J CHRISTOPHER FLEMING MD

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