21D1090182 CLIA NUMBER - EXPRESSCARE AT THE FESTIVAL

Laboratory Demographics

  • CLIA Code: 21D1090182
  • Facility Name: EXPRESSCARE AT THE FESTIVAL
  • Facility Address: 5 BEL AIR SOUTH PARKWAY STE 1535
    BEL AIR, MD
    ZIP 21015
  • Facility Phone: 302 233-6237
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1144470022
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1090182
LAB Type Physician Office
Facility Name EXPRESSCARE AT THE FESTIVAL
Street 5 BEL AIR SOUTH PARKWAY STE 1535
City BEL AIR
State MD
ZIP 21015
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 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Physician Office
Lab Director SITTA GOMBEH-ALIE

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