21D2120582 CLIA NUMBER - EXPRESSCARE OF MOUNT AIRY

Laboratory Demographics

CLIA Number: 21D2120582

Facility Name: EXPRESSCARE OF MOUNT AIRY

Facility Address:
504 EAST RIDGEVILLE BLVD
MOUNT AIRY, MD
ZIP 21771
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Facility Phone Number: 302 233-6237

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1073963146

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 21D2120582
LAB Type Community Clinic
Facility Name EXPRESSCARE OF MOUNT AIRY
Street 504 EAST RIDGEVILLE BLVD
City MOUNT AIRY
State MD
ZIP 21771
Phone 302 233-6237
CertificateType 4
CertificateEffectiveDate 10/19/2022
CertificateExpirationDate 10/18/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024