21D2261951 CLIA NUMBER - EXPRESSCARE OF HANOVER

Laboratory Demographics

  • CLIA Code: 21D2261951
  • Facility Name: EXPRESSCARE OF HANOVER
  • Facility Address: 7566 RIDGE ROAD
    HANOVER, MD
    ZIP 21076
  • Facility Phone: 302 233-6237
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. SITTA GONBEH-ALIE
  • NPI Number: 1780395392
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2261951
LAB Type Community Clinic
Facility Name EXPRESSCARE OF HANOVER
Street 7566 RIDGE ROAD
City HANOVER
State MD
ZIP 21076
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 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Community Clinic
Lab Director DR. SITTA GONBEH-ALIE

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