21D2221219 CLIA NUMBER - EXPRESSCARE OF GAMBRILLS

Laboratory Demographics

  • CLIA Code: 21D2221219
  • Facility Name: EXPRESSCARE OF GAMBRILLS
  • Facility Address: 885 MD ROUTE 3 NORTH
    GAMBRILLS, MD
    ZIP 21054
  • Facility Phone: 302 233-6237
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SITTA GOMBEH-ALIE
  • NPI Number: 1972184596
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2221219
LAB Type Community Clinic
Facility Name EXPRESSCARE OF GAMBRILLS
Street 885 MD ROUTE 3 NORTH
City GAMBRILLS
State MD
ZIP 21054
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 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Community Clinic
Lab Director DR. SITTA GOMBEH-ALIE

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