21D2120582 CLIA NUMBER - EXPRESSCARE OF MOUNT AIRY

Laboratory Demographics

  • CLIA Code: 21D2120582
  • Facility Name: EXPRESSCARE OF MOUNT AIRY
  • Facility Address: 504 EAST RIDGEVILLE BLVD
    MOUNT AIRY, MD
    ZIP 21771
  • Facility Phone: 302 233-6237
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1073963146
  • Taxonomy: 261QU0200X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Community Clinic
Lab Director SITTA GOMBEH-ALIE

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