21D0937442 CLIA NUMBER - FREDERICK PEDIATRIC ASSOCIATES,THE (MT AIRY BRANCH OFFICE)

Laboratory Demographics

  • CLIA Code: 21D0937442
  • Facility Name: FREDERICK PEDIATRIC ASSOCIATES,THE (MT AIRY BRANCH OFFICE)
  • Facility Address: 1311 SOUTH MAIN STREET, SUITE 304
    MOUNT AIRY, MD
    ZIP 21771
  • Facility Phone: 301 829-6146
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN B. SWINTON
  • NPI Number: 1639283757
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 21D0937442
LAB Type Physician Office
Facility Name FREDERICK PEDIATRIC ASSOCIATES,THE (MT AIRY BRANCH OFFICE)
Street 1311 SOUTH MAIN STREET, SUITE 304
City MOUNT AIRY
State MD
ZIP 21771
Phone 301 829-6146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Physician Office
Lab Director BRIAN B. SWINTON

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