21D1080993 CLIA NUMBER - THOMAS JOHNSON SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D1080993
  • Facility Name: THOMAS JOHNSON SURGERY CENTER LLC
  • Facility Address: 197 THOMAS JOHNSON DRIVE
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 781 812-3741
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEVEN BRAND
  • NPI Number: 1679757959
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1080993
LAB Type Ambulatory Surgery Center
Facility Name THOMAS JOHNSON SURGERY CENTER LLC
Street 197 THOMAS JOHNSON DRIVE
City FREDERICK
State MD
ZIP 21702
Phone 781 812-3741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Ambulatory Surgery Center
Lab Director STEVEN BRAND

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