21D2014840 CLIA NUMBER - UM SHORE EMERGENCY CTR AT QUEENSTOWN-POC TEST

Laboratory Demographics

  • CLIA Code: 21D2014840
  • Facility Name: UM SHORE EMERGENCY CTR AT QUEENSTOWN-POC TEST
  • Facility Address: 115 SHOREWAY DRIVE
    QUEENSTOWN, MD
    ZIP 21658
  • Facility Phone: 410 822-1000
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: MAGALI FONTAINE
  • NPI Number: 1194784751
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 21D2014840
LAB Type Ancillary Testing Site in Health Care Center
Facility Name UM SHORE EMERGENCY CTR AT QUEENSTOWN-POC TEST
Street 115 SHOREWAY DRIVE
City QUEENSTOWN
State MD
ZIP 21658
Phone 410 822-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director MAGALI FONTAINE

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