21D2315601 CLIA NUMBER - QUICK PHYS LLC

Laboratory Demographics

  • CLIA Code: 21D2315601
  • Facility Name: QUICK PHYS LLC
  • Facility Address: 8114 SANDPIPER CIRCLE SUITE 207
    NOTTINGHAM, MD
    ZIP 21236
  • Facility Phone: 443 600-8178
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DONTA WALTON
  • NPI Number: 1063230019
  • Taxonomy: 363L00000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2315601
LAB Type Practitioner Other
Facility Name QUICK PHYS LLC
Street 8114 SANDPIPER CIRCLE SUITE 207
City NOTTINGHAM
State MD
ZIP 21236
Phone 443 600-8178
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Practitioner Other
Lab Director DONTA WALTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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