21D2311121 CLIA NUMBER - FREDERICK PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D2311121
  • Facility Name: FREDERICK PRIMARY CARE ASSOCIATES
  • Facility Address: 45 THOMAS JOHNSON DR #212
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 694-7600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GERARD A. DELGRIPPO
  • NPI Number: 1861229049
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2311121
LAB Type Physician Office
Facility Name FREDERICK PRIMARY CARE ASSOCIATES
Street 45 THOMAS JOHNSON DR #212
City FREDERICK
State MD
ZIP 21702
Phone 301 694-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Physician Office
Lab Director DR. GERARD A. DELGRIPPO

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