21D1088091 CLIA NUMBER - EXPRESSCARE OF ELDERSBURG

Laboratory Demographics

  • CLIA Code: 21D1088091
  • Facility Name: EXPRESSCARE OF ELDERSBURG
  • Facility Address: 1311 LONDON TOWNE BLVD SUITE 130
    ELDERSBURG, MD
    ZIP 21784
  • Facility Phone: (302) 233-6237
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1568844678
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D1088091
LAB Type Physician Office
Facility Name EXPRESSCARE OF ELDERSBURG
Street 1311 LONDON TOWNE BLVD SUITE 130
City ELDERSBURG
State MD
ZIP 21784
Phone 3022336237
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Physician Office
Lab Director SITTA GOMBEH-ALIE

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: 5/18/2026