21D0714299 CLIA NUMBER - PRIMARY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D0714299
  • Facility Name: PRIMARY PEDIATRICS
  • Facility Address: 17001 SCIENCE DRIVE STE 116
    BOWIE, MD
    ZIP 20715
  • Facility Phone: 301 464-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN F. BROWN MD
  • NPI Number: 1588551402
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 21D0714299
LAB Type Physician Office
Facility Name PRIMARY PEDIATRICS
Street 17001 SCIENCE DRIVE STE 116
City BOWIE
State MD
ZIP 20715
Phone 301 464-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director STEVEN F. BROWN MD

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