21D2304090 CLIA NUMBER - INNOVATIVE URGENT CARE

Laboratory Demographics

  • CLIA Code: 21D2304090
  • Facility Name: INNOVATIVE URGENT CARE
  • Facility Address: 9809 MAIN ST SUITE 103
    DAMASCUS, MD
    ZIP 20872
  • Facility Phone: 267 258-6362
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ESTEBAN SCHABELMAN
  • NPI Number: 1821773508
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2304090
LAB Type Other - URGENT CARE
Facility Name INNOVATIVE URGENT CARE
Street 9809 MAIN ST SUITE 103
City DAMASCUS
State MD
ZIP 20872
Phone 267 258-6362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Other - URGENT CARE
Lab Director ESTEBAN SCHABELMAN

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