21D2037130 CLIA NUMBER - MED EXPRESS URGENT CARE PC - MARYLAND

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Laboratory Demographics

CLIA Number: 21D2037130

Facility Name: MED EXPRESS URGENT CARE PC - MARYLAND

Facility Address:
1741 DUAL HIGHWAY STE A
HAGERSTOWN, MD
ZIP 21740
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Facility Phone Number: 301 790-0254

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1164707980

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2037130
LAB Type	Physician Office
Facility Name	MED EXPRESS URGENT CARE PC - MARYLAND
Street	1741 DUAL HIGHWAY STE A
City	HAGERSTOWN
State	MD
ZIP	21740
Phone	301 790-0254
CertificateType	4
CertificateEffectiveDate	2/21/2024
CertificateExpirationDate	2/20/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024