21D2023436 CLIA NUMBER - TRUCARE URGENT CARE

Laboratory Demographics

  • CLIA Code: 21D2023436
  • Facility Name: TRUCARE URGENT CARE
  • Facility Address: 5100 BUCKEYSTOWN PIKE, STE 186
    FREDERICK, MD
    ZIP 21704
  • Facility Phone: 301 682-8888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL THOLEN
  • NPI Number: 1285934570
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2023436
LAB Type Physician Office
Facility Name TRUCARE URGENT CARE
Street 5100 BUCKEYSTOWN PIKE, STE 186
City FREDERICK
State MD
ZIP 21704
Phone 301 682-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director MICHAEL THOLEN

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