21D2314905 CLIA NUMBER - UMG URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 21D2314905
  • Facility Name: UMG URGENT CARE LLC
  • Facility Address: 10715 LITTLE PATUXENT PKWY SUITE 100B
    COLUMBIA, MD
    ZIP 21044
  • Facility Phone: 443 917-6647
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHANIE ARSENEAULT
  • NPI Number: 1407685324
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2314905
LAB Type Practitioner Other
Facility Name UMG URGENT CARE LLC
Street 10715 LITTLE PATUXENT PKWY SUITE 100B
City COLUMBIA
State MD
ZIP 21044
Phone 443 917-6647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Practitioner Other
Lab Director STEPHANIE ARSENEAULT

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