09D2184577 CLIA NUMBER - PREMIER PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 09D2184577
  • Facility Name: PREMIER PEDIATRICS LLC
  • Facility Address: 7600 GEORGIA AVENUE NW, SUITE 323
    WASHINGTON, DC
    ZIP 20012
  • Facility Phone: (202) 921-7422
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MS. MURRAY S. LUCILLE
  • NPI Number: 1750843496
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 09D2184577
LAB Type Home Health Agency
Facility Name PREMIER PEDIATRICS LLC
Street 7600 GEORGIA AVENUE NW, SUITE 323
City WASHINGTON
State DC
ZIP 20012
Phone 2029217422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Home Health Agency
Lab Director MS. MURRAY S. LUCILLE

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This page was last updated on: 5/18/2026