21D0210097 CLIA NUMBER - BOWIE PRIMARY CARE INC

Laboratory Demographics

  • CLIA Code: 21D0210097
  • Facility Name: BOWIE PRIMARY CARE INC
  • Facility Address: 4379 NORTHVIEW DRIVE
    BOWIE, MD
    ZIP 20716
  • Facility Phone: 301 262-2627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIAM M. BAHRAMI
  • NPI Number: 1205011640
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0210097
LAB Type Physician Office
Facility Name BOWIE PRIMARY CARE INC
Street 4379 NORTHVIEW DRIVE
City BOWIE
State MD
ZIP 20716
Phone 301 262-2627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Physician Office
Lab Director MARIAM M. BAHRAMI

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