21D2056501 CLIA NUMBER - MEDSTAR URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 21D2056501
  • Facility Name: MEDSTAR URGENT CARE LLC
  • Facility Address: 8605 RIDGELY'S CHOICE DRIVE
    BALTIMORE, MD
    ZIP 21236
  • Facility Phone: 410 248-2310
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ROBERTS KLUG
  • NPI Number: 1598199093
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2056501
LAB Type Other - URGENT CARE
Facility Name MEDSTAR URGENT CARE LLC
Street 8605 RIDGELY'S CHOICE DRIVE
City BALTIMORE
State MD
ZIP 21236
Phone 410 248-2310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Other - URGENT CARE
Lab Director ROBERTS KLUG

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