21D0906617 CLIA NUMBER - PRIMARY AND ALTERNATIVE MED CTR PA

Laboratory Demographics

  • CLIA Code: 21D0906617
  • Facility Name: PRIMARY AND ALTERNATIVE MED CTR PA
  • Facility Address: 12162 TECH RD
    SILVER SPRING, MD
    ZIP 20904
  • Facility Phone: 301 681-4860
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEAN M. WELSH
  • NPI Number: 1275717910
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0906617
LAB Type Physician Office
Facility Name PRIMARY AND ALTERNATIVE MED CTR PA
Street 12162 TECH RD
City SILVER SPRING
State MD
ZIP 20904
Phone 301 681-4860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director DR. JEAN M. WELSH

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