21D2263037 CLIA NUMBER - EXPRESSCARE OF URBANA

Laboratory Demographics

  • CLIA Code: 21D2263037
  • Facility Name: EXPRESSCARE OF URBANA
  • Facility Address: 9122 HINKS LANE
    FREDERICK, MD
    ZIP 21704
  • Facility Phone: 302 233-6237
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SITTA GOMBEH-ALIE
  • NPI Number: 1215648829
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2263037
LAB Type Community Clinic
Facility Name EXPRESSCARE OF URBANA
Street 9122 HINKS LANE
City FREDERICK
State MD
ZIP 21704
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 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Community Clinic
Lab Director SITTA GOMBEH-ALIE

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