21D2304546 CLIA NUMBER - FOCUS RECOVERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2304546
  • Facility Name: FOCUS RECOVERY CENTER LLC
  • Facility Address: 801 TOLL HOUSE ROAD SUITE B1 & B2
    FREDERICK, MD
    ZIP 21701
  • Facility Phone: 301 228-9641
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: STANISLAV MALOV
  • NPI Number: 1740944826
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2304546
LAB Type Community Clinic
Facility Name FOCUS RECOVERY CENTER LLC
Street 801 TOLL HOUSE ROAD SUITE B1 & B2
City FREDERICK
State MD
ZIP 21701
Phone 301 228-9641
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Community Clinic
Lab Director STANISLAV MALOV

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