21D2060403 CLIA NUMBER - EXPRESSCARE OF PARKVILLE

Laboratory Demographics

  • CLIA Code: 21D2060403
  • Facility Name: EXPRESSCARE OF PARKVILLE
  • Facility Address: 7701 HARFORD ROAD
    BALTIMORE, MD
    ZIP 21234
  • Facility Phone: 302 233-6237
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1720426620
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2060403
LAB Type Community Clinic
Facility Name EXPRESSCARE OF PARKVILLE
Street 7701 HARFORD ROAD
City BALTIMORE
State MD
ZIP 21234
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 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Community Clinic
Lab Director SITTA GOMBEH-ALIE

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