21D2329434 CLIA NUMBER - VERTEX HEALTH

Laboratory Demographics

  • CLIA Code: 21D2329434
  • Facility Name: VERTEX HEALTH
  • Facility Address: 178 THOMAS JOHNSON DRIVE #204L
    FREDERICK, MD
    ZIP 21702
  • Facility Phone: 763 913-9372
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ADEBOLA A. ADERJUWON
  • NPI Number: 1740092881
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2329434
LAB Type Practitioner Other
Facility Name VERTEX HEALTH
Street 178 THOMAS JOHNSON DRIVE #204L
City FREDERICK
State MD
ZIP 21702
Phone 763 913-9372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Practitioner Other
Lab Director ADEBOLA A. ADERJUWON

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