21D0893968 CLIA NUMBER - FREDERICK SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 21D0893968
  • Facility Name: FREDERICK SURGICAL CENTER
  • Facility Address: 45 THOMAS JOHNSON DRIVE STE 207
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 694-3400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MIHIR M. JANI
  • NPI Number: 1376542076
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0893968
LAB Type Ambulatory Surgery Center
Facility Name FREDERICK SURGICAL CENTER
Street 45 THOMAS JOHNSON DRIVE STE 207
City FREDERICK
State MD
ZIP 21702
Phone 301 694-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. MIHIR M. JANI

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