21D1092736 CLIA NUMBER - FREDERICK DERMATOLOGY ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 21D1092736
  • Facility Name: FREDERICK DERMATOLOGY ASSOCIATES LLC
  • Facility Address: 45 THOMAS JOHNSON DRIVE, SUITE 209
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 662-6755
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. AERLYN G. DAWN
  • NPI Number: 1922493519
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 21D1092736
LAB Type Physician Office
Facility Name FREDERICK DERMATOLOGY ASSOCIATES LLC
Street 45 THOMAS JOHNSON DRIVE, SUITE 209
City FREDERICK
State MD
ZIP 21702
Phone 301 662-6755
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Physician Office
Lab Director DR. AERLYN G. DAWN

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