21D0872821 CLIA NUMBER - CATOCTIN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 21D0872821
  • Facility Name: CATOCTIN MEDICAL GROUP
  • Facility Address: 100 S CENTER ST
    THURMONT, MD
    ZIP 21788
  • Facility Phone: 301 271-4333
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AMREEN S. AZIZ
  • NPI Number: 1881609725
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0872821
LAB Type Physician Office
Facility Name CATOCTIN MEDICAL GROUP
Street 100 S CENTER ST
City THURMONT
State MD
ZIP 21788
Phone 301 271-4333
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 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director AMREEN S. AZIZ

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