21D1054582 CLIA NUMBER - EXPRESSCARE OF PADONIA

Laboratory Demographics

  • CLIA Code: 21D1054582
  • Facility Name: EXPRESSCARE OF PADONIA
  • Facility Address: 9832-F YORK ROAD
    COCKEYSVILLE, MD
    ZIP 21030
  • Facility Phone: 302 233-6237
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: SITTA GONBEH-ALIE
  • NPI Number: 1164646774
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1054582
LAB Type Other - URGENT CARE
Facility Name EXPRESSCARE OF PADONIA
Street 9832-F YORK ROAD
City COCKEYSVILLE
State MD
ZIP 21030
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 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Other - URGENT CARE
Lab Director SITTA GONBEH-ALIE

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