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21D2214623 CLIA NUMBER - FREDERICK HLTH MED GRP- ENDOCRIN & THYROID SPEC

Laboratory Demographics

CLIA Number: 21D2214623

Facility Name: FREDERICK HLTH MED GRP- ENDOCRIN & THYROID SPEC

Facility Address:
7211 BANK COURT STE 240
FREDERICK, MD
ZIP 21703
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Facility Phone Number: 240 215-1454

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1720496573

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name Field Value
CLIA Number 21D2214623
LAB Type Physician Office
Facility Name FREDERICK HLTH MED GRP- ENDOCRIN & THYROID SPEC
Street 7211 BANK COURT STE 240
City FREDERICK
State MD
ZIP 21703
Phone 240 215-1454
CertificateType 4
CertificateEffectiveDate 2/24/2023
CertificateExpirationDate 2/23/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024