21D2123181 CLIA NUMBER - UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR

Laboratory Demographics

CLIA Number: 21D2123181

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

Facility Address:
744 S PHILADELPHIA BLVD
ABERDEEN, MD
ZIP 21001
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Facility Phone Number: 410 648-2472

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1548867054

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2123181
LAB Type	Other - URGENT CARE
Facility Name	UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR
Street	744 S PHILADELPHIA BLVD
City	ABERDEEN
State	MD
ZIP	21001
Phone	410 648-2472
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

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