21D2136719 CLIA NUMBER - UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR

Laboratory Demographics

  • CLIA Code: 21D2136719
  • Facility Name: UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR
  • Facility Address: 1528 ROCK SPRING ROAD SUITE 100
    FOREST HILL, MD
    ZIP 21050
  • Facility Phone: 410 648-2474
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: NICHOLAS BOWER
  • NPI Number: 1558968065
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2136719
LAB Type Other - URGENT CARE
Facility Name UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR
Street 1528 ROCK SPRING ROAD SUITE 100
City FOREST HILL
State MD
ZIP 21050
Phone 410 648-2474
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