21D0929759 CLIA NUMBER - FREDERICK ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D0929759
  • Facility Name: FREDERICK ENDOSCOPY CENTER LLC
  • Facility Address: 7115 GUILFORD DRIVE STE 201
    FREDERICK, MD
    ZIP 21704
  • Facility Phone: 301 682-6261
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAWEI YANG
  • NPI Number: 1063519866
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0929759
LAB Type Ambulatory Surgery Center
Facility Name FREDERICK ENDOSCOPY CENTER LLC
Street 7115 GUILFORD DRIVE STE 201
City FREDERICK
State MD
ZIP 21704
Phone 301 682-6261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Ambulatory Surgery Center
Lab Director DAWEI YANG

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