21D2144124 CLIA NUMBER - CONCERTED CARE GROUP - FREDERICK

Laboratory Demographics

  • CLIA Code: 21D2144124
  • Facility Name: CONCERTED CARE GROUP - FREDERICK
  • Facility Address: 92 THOMAS JOHNSON DRIVE SUITE 100
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 410 617-0142
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ERIKA KANE
  • NPI Number: 1477958346
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 21D2144124
LAB Type Community Clinic
Facility Name CONCERTED CARE GROUP - FREDERICK
Street 92 THOMAS JOHNSON DRIVE SUITE 100
City FREDERICK
State MD
ZIP 21702
Phone 410 617-0142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Community Clinic
Lab Director ERIKA KANE

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