21D2048523 CLIA NUMBER - EXPRESSCARE OF ESSEX

Laboratory Demographics

  • CLIA Code: 21D2048523
  • Facility Name: EXPRESSCARE OF ESSEX
  • Facility Address: 1354 EASTERN BLVD
    ESSEX, MD
    ZIP 21221
  • Facility Phone: 302 233-6237
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1972850105
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2048523
LAB Type Physician Office
Facility Name EXPRESSCARE OF ESSEX
Street 1354 EASTERN BLVD
City ESSEX
State MD
ZIP 21221
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 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director SITTA GOMBEH-ALIE

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