21D2192347 CLIA NUMBER - CRH MD MANAGEMENT LLC DBA PATRIOT URGENT CARE- RST

Laboratory Demographics

  • CLIA Code: 21D2192347
  • Facility Name: CRH MD MANAGEMENT LLC DBA PATRIOT URGENT CARE- RST
  • Facility Address: 11804 REISTERSTOWN ROAD
    REISTERSTOWN, MD
    ZIP 21136
  • Facility Phone: 970 406-0368
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. VALERIE GOODMAN
  • NPI Number: 1841772589
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2192347
LAB Type Physician Office
Facility Name CRH MD MANAGEMENT LLC DBA PATRIOT URGENT CARE- RST
Street 11804 REISTERSTOWN ROAD
City REISTERSTOWN
State MD
ZIP 21136
Phone 970 406-0368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director DR. VALERIE GOODMAN

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