21D0909092 CLIA NUMBER - FREDERICK UROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D0909092
  • Facility Name: FREDERICK UROLOGY ASSOCIATES
  • Facility Address: 110 BAUGHMANS LANE SUITE 201
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 694-8080
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MOHAMMED M. MOHIUDDIN
  • NPI Number: 1285961383
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0909092
LAB Type Physician Office
Facility Name FREDERICK UROLOGY ASSOCIATES
Street 110 BAUGHMANS LANE SUITE 201
City FREDERICK
State MD
ZIP 21702
Phone 301 694-8080
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 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director MOHAMMED M. MOHIUDDIN

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This page was last updated on: 6/4/2025