21D2067889 CLIA NUMBER - FAST TRACK URGENT CARE

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Laboratory Demographics

CLIA Number: 21D2067889

Facility Name: FAST TRACK URGENT CARE

Facility Address:
13428 NEW HAMPSHIRE AVE
SILVER SPRING, MD
ZIP 20904
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Facility Phone Number: 301 384-5010

Facility Type: Other - URGENT CARE FAC

Certificate Type: Waiver

NPI Number: 1346494234

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2067889
LAB Type	Other - URGENT CARE FAC
Facility Name	FAST TRACK URGENT CARE
Street	13428 NEW HAMPSHIRE AVE
City	SILVER SPRING
State	MD
ZIP	20904
Phone	301 384-5010
CertificateType	4
CertificateEffectiveDate	10/24/2023
CertificateExpirationDate	10/23/2025
FacilityType	Waiver

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