21D2176640 CLIA NUMBER - SABIHA MOHIUDDIN, MD FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 21D2176640
  • Facility Name: SABIHA MOHIUDDIN, MD FAMILY PRACTICE
  • Facility Address: 110 BAUGHMANS LANE SUITE 202
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 694-4760
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SABIHA MOHIUDDIN
  • NPI Number: 1306828371
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2176640
LAB Type Physician Office
Facility Name SABIHA MOHIUDDIN, MD FAMILY PRACTICE
Street 110 BAUGHMANS LANE SUITE 202
City FREDERICK
State MD
ZIP 21702
Phone 301 694-4760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director SABIHA MOHIUDDIN

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