21D1077497 CLIA NUMBER - EXPRESS CARE URGENT CARE CENTERS - OVERLEA LOCATIO

Laboratory Demographics

CLIA Number: 21D1077497

Facility Name: EXPRESS CARE URGENT CARE CENTERS - OVERLEA LOCATIO

Facility Address:
7700 BELAIR ROAD
NOTTINGHAM, MD
ZIP 21236
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Facility Phone Number: 410 569-2441

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1629252549

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D1077497
LAB Type	Community Clinic
Facility Name	EXPRESS CARE URGENT CARE CENTERS - OVERLEA LOCATIO
Street	7700 BELAIR ROAD
City	NOTTINGHAM
State	MD
ZIP	21236
Phone	410 569-2441
CertificateType	4
CertificateEffectiveDate	12/12/2023
CertificateExpirationDate	12/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024