21D2024545 CLIA NUMBER - PHI AIR MEDICAL DBA EXPRESSCARE 1

Laboratory Demographics

  • CLIA Code: 21D2024545
  • Facility Name: PHI AIR MEDICAL DBA EXPRESSCARE 1
  • Facility Address: 701 WILSON POINT ROAD HANGAR 4/SUITE 400
    BALTIMORE, MD
    ZIP 21220
  • Facility Phone: 410 918-1148
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: HOLLEY N. WELKER
  • NPI Number: 1962847210
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 21D2024545
LAB Type Ambulance
Facility Name PHI AIR MEDICAL DBA EXPRESSCARE 1
Street 701 WILSON POINT ROAD HANGAR 4/SUITE 400
City BALTIMORE
State MD
ZIP 21220
Phone 410 918-1148
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Ambulance
Lab Director HOLLEY N. WELKER

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