21D0219859 CLIA NUMBER - MEDSTAR URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 21D0219859
  • Facility Name: MEDSTAR URGENT CARE LLC
  • Facility Address: 2114 GENERALS HWY
    ANNAPOLIS, MD
    ZIP 21401
  • Facility Phone: 410 772-6909
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT K. KLUG
  • NPI Number: 1528740057
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0219859
LAB Type Physician Office
Facility Name MEDSTAR URGENT CARE LLC
Street 2114 GENERALS HWY
City ANNAPOLIS
State MD
ZIP 21401
Phone 410 772-6909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director DR. ROBERT K. KLUG

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