21D2115944 CLIA NUMBER - MEDSTAR URGENT CARE LLC

Laboratory Demographics

CLIA Number: 21D2115944

Facility Name: MEDSTAR URGENT CARE LLC

Facility Address:
3350 CRAIN HIGHWAY
WALDORF, MD
ZIP 20603
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Facility Phone Number: 410 772-6909

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1902257199

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2115944
LAB Type	Other - URGENT CARE
Facility Name	MEDSTAR URGENT CARE LLC
Street	3350 CRAIN HIGHWAY
City	WALDORF
State	MD
ZIP	20603
Phone	410 772-6909
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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