21D2146916 CLIA NUMBER - COMMUNITY FREE CLINIC, INC

Laboratory Demographics

  • CLIA Code: 21D2146916
  • Facility Name: COMMUNITY FREE CLINIC, INC
  • Facility Address: 249 MILL STREET
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 301 733-9234
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SANDRA FOWLER
  • NPI Number: 1568507655
  • Taxonomy: 146L00000X - Emergency Medical Technician, Paramedic

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2146916
LAB Type Community Clinic
Facility Name COMMUNITY FREE CLINIC, INC
Street 249 MILL STREET
City HAGERSTOWN
State MD
ZIP 21740
Phone 301 733-9234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Community Clinic
Lab Director SANDRA FOWLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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