21D0968894 CLIA NUMBER - CATOCTIN MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 21D0968894
  • Facility Name: CATOCTIN MEDICAL GROUP
  • Facility Address: 180 THOMAS JOHNSON DRIVE STE 101
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 271-4333
  • Facility Type: Hospice
  • Facility Type: Microscopy
  • Lab Director: AMREEN S. AZIZ
  • NPI Number: 1518971373
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0968894
LAB Type Hospice
Facility Name CATOCTIN MEDICAL GROUP
Street 180 THOMAS JOHNSON DRIVE STE 101
City FREDERICK
State MD
ZIP 21702
Phone 301 271-4333
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 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Hospice
Lab Director AMREEN S. AZIZ

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