21D0894973 CLIA NUMBER - SYED W HAQUE MD PA

Laboratory Demographics

  • CLIA Code: 21D0894973
  • Facility Name: SYED W HAQUE MD PA
  • Facility Address: 700 MONTCLAIR AVENUE #B
    FREDERICK, MD
    ZIP 21701
  • Facility Phone: 301 663-5252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SYED W. HAQUE
  • NPI Number: 1952390205
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D0894973
LAB Type Physician Office
Facility Name SYED W HAQUE MD PA
Street 700 MONTCLAIR AVENUE #B
City FREDERICK
State MD
ZIP 21701
Phone 301 663-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director SYED W. HAQUE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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