21D2011485 CLIA NUMBER - UM SHORE EMERGENCY CENTER AT QUEENSTOWN

Laboratory Demographics

  • CLIA Code: 21D2011485
  • Facility Name: UM SHORE EMERGENCY CENTER AT QUEENSTOWN
  • Facility Address: 115 SHORE WAY DR
    QUEENSTOWN, MD
    ZIP 21658
  • Facility Phone: 410 822-1000
  • Facility Type: Other - FREE STANDING EMERG CTR
  • Facility Type: Accreditation
  • Lab Director: DR. MAGALI J. FONTAINE
  • NPI Number: 1801475637
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2011485
LAB Type Other - FREE STANDING EMERG CTR
Facility Name UM SHORE EMERGENCY CENTER AT QUEENSTOWN
Street 115 SHORE WAY DR
City QUEENSTOWN
State MD
ZIP 21658
Phone 410 822-1000
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Other - FREE STANDING EMERG CTR
Lab Director DR. MAGALI J. FONTAINE

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