21D2256842 CLIA NUMBER - CRH MD MANAGEMENT, LLC DBA PATRIOT URGENT CARE CLN

Laboratory Demographics

CLIA Number: 21D2256842

Facility Name: CRH MD MANAGEMENT, LLC DBA PATRIOT URGENT CARE CLN

Facility Address:
8825 WOODYARD ROAD, STE 101
CLINTON, MD
ZIP 20735
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Facility Phone Number: 678 434-7329

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972263143

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2256842
LAB Type	Physician Office
Facility Name	CRH MD MANAGEMENT, LLC DBA PATRIOT URGENT CARE CLN
Street	8825 WOODYARD ROAD, STE 101
City	CLINTON
State	MD
ZIP	20735
Phone	678 434-7329
CertificateType	4
CertificateEffectiveDate	3/29/2024
CertificateExpirationDate	3/28/2026
FacilityType	Waiver

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