21D2072054 CLIA NUMBER - MEDSTAR URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 21D2072054
  • Facility Name: MEDSTAR URGENT CARE LLC
  • Facility Address: 19777 N FREDERICK ROAD
    GERMANTOWN, MD
    ZIP 20876
  • Facility Phone: 410 772-6909
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY CARLE
  • NPI Number: 1538923958
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2072054
LAB Type Other - URGENT CARE
Facility Name MEDSTAR URGENT CARE LLC
Street 19777 N FREDERICK ROAD
City GERMANTOWN
State MD
ZIP 20876
Phone 410 772-6909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Other - URGENT CARE
Lab Director DR. TIMOTHY CARLE

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