21D1074046 CLIA NUMBER - FREDERICK HEALTH LABORATORY

Laboratory Demographics

  • CLIA Code: 21D1074046
  • Facility Name: FREDERICK HEALTH LABORATORY
  • Facility Address: 7211 BANK COURT SUITE 130
    FREDERICK, MD
    ZIP 21703
  • Facility Phone: 240 215-1435
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DANIELA MIHOVA
  • NPI Number: 1033305263
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1074046
LAB Type Ancillary Testing Site in Health Care Center
Facility Name FREDERICK HEALTH LABORATORY
Street 7211 BANK COURT SUITE 130
City FREDERICK
State MD
ZIP 21703
Phone 240 215-1435
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DANIELA MIHOVA

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