21D2326286 CLIA NUMBER - ANDOCHICK MD PA

Laboratory Demographics

  • CLIA Code: 21D2326286
  • Facility Name: ANDOCHICK MD PA
  • Facility Address: 81 THOMAS JOHNSON COURT SUITE A
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 301 620-4200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SCOTT ANDOCHICK
  • NPI Number: 1710952841
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2326286
LAB Type Ambulatory Surgery Center
Facility Name ANDOCHICK MD PA
Street 81 THOMAS JOHNSON COURT SUITE A
City FREDERICK
State MD
ZIP 21702
Phone 301 620-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Ambulatory Surgery Center
Lab Director SCOTT ANDOCHICK

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