21D2113394 CLIA NUMBER - EXPRESSCARE OF BROOKLYN PARK

Laboratory Demographics

  • CLIA Code: 21D2113394
  • Facility Name: EXPRESSCARE OF BROOKLYN PARK
  • Facility Address: 5400 RITCHIE HWY
    BROOKLYN PARK, MD
    ZIP 21225
  • Facility Phone: 302 233-6237
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1700239373
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2113394
LAB Type Community Clinic
Facility Name EXPRESSCARE OF BROOKLYN PARK
Street 5400 RITCHIE HWY
City BROOKLYN PARK
State MD
ZIP 21225
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 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director SITTA GOMBEH-ALIE

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