21D1105220 CLIA NUMBER - EXPRESSCARE OF WESTMINSTER

Laboratory Demographics

  • CLIA Code: 21D1105220
  • Facility Name: EXPRESSCARE OF WESTMINSTER
  • Facility Address: 1011 BALTIMORE BLVD
    WESTMINSTER, MD
    ZIP 21157
  • Facility Phone: 302 233-6237
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1093042012
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1105220
LAB Type Physician Office
Facility Name EXPRESSCARE OF WESTMINSTER
Street 1011 BALTIMORE BLVD
City WESTMINSTER
State MD
ZIP 21157
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 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director SITTA GOMBEH-ALIE

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