21D1077497 CLIA NUMBER - EXPRESS CARE OF OVERLEA

Laboratory Demographics

  • CLIA Code: 21D1077497
  • Facility Name: EXPRESS CARE OF OVERLEA
  • Facility Address: 7700 BELAIR ROAD
    NOTTINGHAM, MD
    ZIP 21236
  • Facility Phone: 410 569-2441
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1629252549
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1077497
LAB Type Community Clinic
Facility Name EXPRESS CARE OF OVERLEA
Street 7700 BELAIR ROAD
City NOTTINGHAM
State MD
ZIP 21236
Phone 410 569-2441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Community Clinic
Lab Director SITTA GOMBEH-ALIE

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