21D0703891 CLIA NUMBER - FREDERICK PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D0703891
  • Facility Name: FREDERICK PEDIATRIC ASSOCIATES
  • Facility Address: 87 THOMAS JOHNSON DRIVE STE 101
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 694-0606
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN SWINTON
  • NPI Number: 1538146717
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0703891
LAB Type Physician Office
Facility Name FREDERICK PEDIATRIC ASSOCIATES
Street 87 THOMAS JOHNSON DRIVE STE 101
City FREDERICK
State MD
ZIP 21702
Phone 301 694-0606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director BRIAN SWINTON

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