21D2034084 CLIA NUMBER - EXPRESSCARE OF DUNDALK

Laboratory Demographics

  • CLIA Code: 21D2034084
  • Facility Name: EXPRESSCARE OF DUNDALK
  • Facility Address: 1307 MERRITT BLVD
    DUNDALK, MD
    ZIP 21222
  • Facility Phone: 410 569-2441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SITTA GOMBEH-ALIE
  • NPI Number: 1114389707
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2034084
LAB Type Physician Office
Facility Name EXPRESSCARE OF DUNDALK
Street 1307 MERRITT BLVD
City DUNDALK
State MD
ZIP 21222
Phone 410 569-2441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director DR. SITTA GOMBEH-ALIE

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