21D2021699 CLIA NUMBER - EXPRESSCARE OF OWINGS MILLS

Laboratory Demographics

  • CLIA Code: 21D2021699
  • Facility Name: EXPRESSCARE OF OWINGS MILLS
  • Facility Address: 10490 OWINGS MILLS
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: (410) 569-2441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SITTA GOMBEH-ALIE
  • NPI Number: 1740586700
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2021699
LAB Type Physician Office
Facility Name EXPRESSCARE OF OWINGS MILLS
Street 10490 OWINGS MILLS
City OWINGS MILLS
State MD
ZIP 21117
Phone 4105692441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director DR. SITTA GOMBEH-ALIE

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This page was last updated on: 5/18/2026