21D2302796 CLIA NUMBER - FREDERICK HEALTH LABORATORY

Laboratory Demographics

  • CLIA Code: 21D2302796
  • Facility Name: FREDERICK HEALTH LABORATORY
  • Facility Address: 10260 SILVERSIDE ST SUITE 110
    IJAMSVILLE, MD
    ZIP 21754
  • Facility Phone: 240 566-3410
  • Facility Type: Other - OUT PATIENT CTR
  • Facility Type: Waiver
  • Lab Director: ASHISH BARMAN
  • NPI Number: 1619411121
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 21D2302796
LAB Type Other - OUT PATIENT CTR
Facility Name FREDERICK HEALTH LABORATORY
Street 10260 SILVERSIDE ST SUITE 110
City IJAMSVILLE
State MD
ZIP 21754
Phone 240 566-3410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Other - OUT PATIENT CTR
Lab Director ASHISH BARMAN

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