21D2107324 CLIA NUMBER - MEDSTAR URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 21D2107324
  • Facility Name: MEDSTAR URGENT CARE LLC
  • Facility Address: 12 MEDSTAR BLVD SUITE 125
    BEL AIR, MD
    ZIP 21015
  • Facility Phone: 513 340-1629
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT K. KLUG
  • NPI Number: 1609236272
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2107324
LAB Type Other - URGENT CARE
Facility Name MEDSTAR URGENT CARE LLC
Street 12 MEDSTAR BLVD SUITE 125
City BEL AIR
State MD
ZIP 21015
Phone 513 340-1629
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Other - URGENT CARE
Lab Director DR. ROBERT K. KLUG

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