21D2107528 CLIA NUMBER - EXPRESSCARE OF NORTH POINT

Laboratory Demographics

  • CLIA Code: 21D2107528
  • Facility Name: EXPRESSCARE OF NORTH POINT
  • Facility Address: 4009 NORTHPOINT BLVD STE 102-105
    DUNDALK, MD
    ZIP 21222
  • Facility Phone: 410 569-2441
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1114389707
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2107528
LAB Type Community Clinic
Facility Name EXPRESSCARE OF NORTH POINT
Street 4009 NORTHPOINT BLVD STE 102-105
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 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Community Clinic
Lab Director SITTA GOMBEH-ALIE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025