21D2095957 CLIA NUMBER - FREDERICK FOOT & ANKLE ASC LLC

Laboratory Demographics

  • CLIA Code: 21D2095957
  • Facility Name: FREDERICK FOOT & ANKLE ASC LLC
  • Facility Address: 141 THOMAS JOHNSON DR, SUITE 170
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 668-9707
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: YENISEY YANES
  • NPI Number: 1841765310
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 21D2095957
LAB Type Ambulatory Surgery Center
Facility Name FREDERICK FOOT & ANKLE ASC LLC
Street 141 THOMAS JOHNSON DR, SUITE 170
City FREDERICK
State MD
ZIP 21702
Phone 301 668-9707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Ambulatory Surgery Center
Lab Director YENISEY YANES

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