21D0889181 CLIA NUMBER - ADVANCED PRIMARY & GERIATIC CARE

Laboratory Demographics

  • CLIA Code: 21D0889181
  • Facility Name: ADVANCED PRIMARY & GERIATIC CARE
  • Facility Address: 15245 SHADY GROVE ROAD, STE 130
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 527-1650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVI PASSI
  • NPI Number: 1447229281
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0889181
LAB Type Physician Office
Facility Name ADVANCED PRIMARY & GERIATIC CARE
Street 15245 SHADY GROVE ROAD, STE 130
City ROCKVILLE
State MD
ZIP 20850
Phone 301 527-1650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director RAVI PASSI

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