21D2328967 CLIA NUMBER - COMMUNITY PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D2328967
  • Facility Name: COMMUNITY PRIMARY CARE ASSOCIATES
  • Facility Address: 110 BAUGHMANS LANE #206
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 240 439-1251
  • Facility Type: Other - NP OWNED OFFICE
  • Facility Type: Waiver
  • Lab Director: JUDITH STAMBAUGH
  • NPI Number: 1356147524
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2328967
LAB Type Other - NP OWNED OFFICE
Facility Name COMMUNITY PRIMARY CARE ASSOCIATES
Street 110 BAUGHMANS LANE #206
City FREDERICK
State MD
ZIP 21702
Phone 240 439-1251
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 Other - NP OWNED OFFICE
Lab Director JUDITH STAMBAUGH

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