21D2056503 CLIA NUMBER - MEDSTAR URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 21D2056503
  • Facility Name: MEDSTAR URGENT CARE LLC
  • Facility Address: 12111 DARNESTOWN ROAD
    GAITHERSBURG, MD
    ZIP 20878
  • Facility Phone: 301 926-3020
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: TIMOTHY E. CARLE
  • NPI Number: 1184058232
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2056503
LAB Type Other - URGENT CARE
Facility Name MEDSTAR URGENT CARE LLC
Street 12111 DARNESTOWN ROAD
City GAITHERSBURG
State MD
ZIP 20878
Phone 301 926-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Other - URGENT CARE
Lab Director TIMOTHY E. CARLE

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