21D2160088 CLIA NUMBER - CRH MD MANAGEMENT LLC DBA PATRIOT URGENT CARE- PRF

Laboratory Demographics

  • CLIA Code: 21D2160088
  • Facility Name: CRH MD MANAGEMENT LLC DBA PATRIOT URGENT CARE- PRF
  • Facility Address: 821 PRINCE FREDERICK BLVD
    PRINCE FREDERICK, MD
    ZIP 20678
  • Facility Phone: 410 535-8911
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: AMRA NASIR
  • NPI Number: 1780156455
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2160088
LAB Type Other - URGENT CARE
Facility Name CRH MD MANAGEMENT LLC DBA PATRIOT URGENT CARE- PRF
Street 821 PRINCE FREDERICK BLVD
City PRINCE FREDERICK
State MD
ZIP 20678
Phone 410 535-8911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Other - URGENT CARE
Lab Director AMRA NASIR

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