21D2099582 CLIA NUMBER - UMMS AMBULATORY CARE LLC DBA UM URGENT CARE DUNDAL

Laboratory Demographics

  • CLIA Code: 21D2099582
  • Facility Name: UMMS AMBULATORY CARE LLC DBA UM URGENT CARE DUNDAL
  • Facility Address: 1730 MERRITT BOULEVARD
    DUNDALK, MD
    ZIP 21222
  • Facility Phone: 410 648-2474
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: NICHOLAS BOWER
  • NPI Number: 1679180822
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2099582
LAB Type Other - URGENT CARE
Facility Name UMMS AMBULATORY CARE LLC DBA UM URGENT CARE DUNDAL
Street 1730 MERRITT BOULEVARD
City DUNDALK
State MD
ZIP 21222
Phone 410 648-2474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Other - URGENT CARE
Lab Director NICHOLAS BOWER

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