21D0865676 CLIA NUMBER - PRIME CARE MED LLC

Laboratory Demographics

  • CLIA Code: 21D0865676
  • Facility Name: PRIME CARE MED LLC
  • Facility Address: 50 WEST EDMONSTON DRIVE
    ROCKVILLE, MD
    ZIP 20852
  • Facility Phone: 301 762-3030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PANKAJ TALWAR
  • NPI Number: 1164667192
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D0865676
LAB Type Physician Office
Facility Name PRIME CARE MED LLC
Street 50 WEST EDMONSTON DRIVE
City ROCKVILLE
State MD
ZIP 20852
Phone 301 762-3030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director PANKAJ TALWAR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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