21D2301417 CLIA NUMBER - UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR

Laboratory Demographics

  • CLIA Code: 21D2301417
  • Facility Name: UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR
  • Facility Address: 4125 MOUNTAIN RD
    PASADENA, MD
    ZIP 21122
  • Facility Phone: 410 648-2474
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. NICHOLAS S. BOWER
  • NPI Number: 1508628942
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2301417
LAB Type Other - URGENT CARE
Facility Name UMMS AMBULATORY CARE LLC DBA UNIV OF MD URGENT CAR
Street 4125 MOUNTAIN RD
City PASADENA
State MD
ZIP 21122
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 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Other - URGENT CARE
Lab Director DR. NICHOLAS S. BOWER

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