21D2002091 CLIA NUMBER - FREDERICK COUNTY ADULT DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 21D2002091
  • Facility Name: FREDERICK COUNTY ADULT DETENTION CENTER
  • Facility Address: 7300 MARCIES CHOICE LANE
    FREDERICK, MD
    ZIP 21704
  • Facility Phone: 301 600-2550
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: TAISAI SUZIKI
  • NPI Number: 1548657208
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 21D2002091
LAB Type Other - JAIL
Facility Name FREDERICK COUNTY ADULT DETENTION CENTER
Street 7300 MARCIES CHOICE LANE
City FREDERICK
State MD
ZIP 21704
Phone 301 600-2550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Other - JAIL
Lab Director TAISAI SUZIKI

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