21D2048524 CLIA NUMBER - MEDSTAR URGENT CARE, LLC

Laboratory Demographics

  • CLIA Code: 21D2048524
  • Facility Name: MEDSTAR URGENT CARE, LLC
  • Facility Address: 11915 GEORGIA AVE
    WHEATON, MD
    ZIP 20902
  • Facility Phone: 410 772-6790
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: TIMOTHY CARLE
  • NPI Number: 1871843409
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2048524
LAB Type Other - URGENT CARE
Facility Name MEDSTAR URGENT CARE, LLC
Street 11915 GEORGIA AVE
City WHEATON
State MD
ZIP 20902
Phone 410 772-6790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Other - URGENT CARE
Lab Director TIMOTHY CARLE

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