21D2083221 CLIA NUMBER - MD IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 21D2083221
  • Facility Name: MD IMMEDIATE CARE
  • Facility Address: 504 LEWIS STREET
    HAVRE DE GRACE, MD
    ZIP 21078
  • Facility Phone: 443 613-5787
  • Facility Type: Other - URGENT CARE CTR
  • Facility Type: Waiver
  • Lab Director: REHAN A. KHAN MD
  • NPI Number: 1770824195
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2083221
LAB Type Other - URGENT CARE CTR
Facility Name MD IMMEDIATE CARE
Street 504 LEWIS STREET
City HAVRE DE GRACE
State MD
ZIP 21078
Phone 443 613-5787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Other - URGENT CARE CTR
Lab Director REHAN A. KHAN MD

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