21D2179914 CLIA NUMBER - CHILDREN'S URGENT CARE- BEL AIR

Laboratory Demographics

  • CLIA Code: 21D2179914
  • Facility Name: CHILDREN'S URGENT CARE- BEL AIR
  • Facility Address: 611 BEL AIR ROAD
    BEL AIR, MD
    ZIP 21014
  • Facility Phone: 302 233-6239
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1922686815
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2179914
LAB Type Community Clinic
Facility Name CHILDREN'S URGENT CARE- BEL AIR
Street 611 BEL AIR ROAD
City BEL AIR
State MD
ZIP 21014
Phone 302 233-6239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Community Clinic
Lab Director SITTA GOMBEH-ALIE

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