21D2109419 CLIA NUMBER - UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR

Laboratory Demographics

CLIA Number: 21D2109419

Facility Name: UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR

Facility Address:
2315 BEL AIR ROAD UNIT C1
FALLSTON, MD
ZIP 21047
Get Directions

Facility Phone Number: 410 648-2474

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1770180283

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2109419
LAB Type	Other - URGENT CARE
Facility Name	UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR
Street	2315 BEL AIR ROAD UNIT C1
City	FALLSTON
State	MD
ZIP	21047
Phone	410 648-2474
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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