21D2136718 CLIA NUMBER - UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR

Laboratory Demographics

  • CLIA Code: 21D2136718
  • Facility Name: UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR
  • Facility Address: 711 WEST 40TH STREET SUITE 173
    BALTIMORE, MD
    ZIP 21211
  • Facility Phone: 410 296-7190
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: NICHOLAS BOWER
  • NPI Number: 1134726649
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2136718
LAB Type Other - URGENT CARE
Facility Name UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR
Street 711 WEST 40TH STREET SUITE 173
City BALTIMORE
State MD
ZIP 21211
Phone 410 296-7190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Other - URGENT CARE
Lab Director NICHOLAS BOWER

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