21D1051005 CLIA NUMBER - MEDSTAR URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 21D1051005
  • Facility Name: MEDSTAR URGENT CARE LLC
  • Facility Address: 6334 CEDAR LANE
    COLUMBIA, MD
    ZIP 21044
  • Facility Phone: 410 772-6726
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRONSON E. BRONSON
  • NPI Number: 1932881208
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 21D1051005
LAB Type Physician Office
Facility Name MEDSTAR URGENT CARE LLC
Street 6334 CEDAR LANE
City COLUMBIA
State MD
ZIP 21044
Phone 410 772-6726
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. BRONSON E. BRONSON

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