21D0697435 CLIA NUMBER - FREDERICK COUNTY HEALTH DEPT

Laboratory Demographics

  • CLIA Code: 21D0697435
  • Facility Name: FREDERICK COUNTY HEALTH DEPT
  • Facility Address: 350 MONTEVUE LANE
    FREDERICK, MD
    ZIP 21701
  • Facility Phone: 301 600-1029
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: RANDALL C. CULPEPPER
  • NPI Number: 1083603914
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 21D0697435
LAB Type Community Clinic
Facility Name FREDERICK COUNTY HEALTH DEPT
Street 350 MONTEVUE LANE
City FREDERICK
State MD
ZIP 21701
Phone 301 600-1029
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 Community Clinic
Lab Director RANDALL C. CULPEPPER

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