21D2328963 CLIA NUMBER - FREDERICK PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D2328963
  • Facility Name: FREDERICK PRIMARY CARE ASSOCIATES
  • Facility Address: 9093 RIDGEFIELD DRIVE #104
    FREDERICK, MD
    ZIP 21701
  • Facility Phone: 240 913-5950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LYNDA ARTUSIO
  • NPI Number: 1083411979
  • Taxonomy: 363LP0808X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2328963
LAB Type Physician Office
Facility Name FREDERICK PRIMARY CARE ASSOCIATES
Street 9093 RIDGEFIELD DRIVE #104
City FREDERICK
State MD
ZIP 21701
Phone 240 913-5950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director LYNDA ARTUSIO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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