21D2176574 CLIA NUMBER - WVS FREDERICK ASC, LLC

Laboratory Demographics

  • CLIA Code: 21D2176574
  • Facility Name: WVS FREDERICK ASC, LLC
  • Facility Address: 75 THOMAS JOHNSON DR, SUITE 1
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 378-0608
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MUBASHAR CHOUDRY
  • NPI Number: 1386391332
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2176574
LAB Type Ambulatory Surgery Center
Facility Name WVS FREDERICK ASC, LLC
Street 75 THOMAS JOHNSON DR, SUITE 1
City FREDERICK
State MD
ZIP 21702
Phone 301 378-0608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Ambulatory Surgery Center
Lab Director MUBASHAR CHOUDRY

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