21D1033563 CLIA NUMBER - EXPRESSCARE OF BEL AIR

Laboratory Demographics

  • CLIA Code: 21D1033563
  • Facility Name: EXPRESSCARE OF BEL AIR
  • Facility Address: 1505 CHURCHVILLE ROAD
    BEL AIR, MD
    ZIP 21014
  • Facility Phone: 302 233-6237
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1962828319
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1033563
LAB Type Community Clinic
Facility Name EXPRESSCARE OF BEL AIR
Street 1505 CHURCHVILLE ROAD
City BEL AIR
State MD
ZIP 21014
Phone 302 233-6237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Community Clinic
Lab Director SITTA GOMBEH-ALIE

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