21D1016590 CLIA NUMBER - PRIME MD LLC/SUZAN ABDO MD

Laboratory Demographics

  • CLIA Code: 21D1016590
  • Facility Name: PRIME MD LLC/SUZAN ABDO MD
  • Facility Address: 10910 LITTLE PATUXENT PARKWAY STE 202
    COLUMBIA, MD
    ZIP 21044
  • Facility Phone: 443 535-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUZAN K. ABDO MD
  • NPI Number: 1558540161
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D1016590
LAB Type Physician Office
Facility Name PRIME MD LLC/SUZAN ABDO MD
Street 10910 LITTLE PATUXENT PARKWAY STE 202
City COLUMBIA
State MD
ZIP 21044
Phone 443 535-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Physician Office
Lab Director SUZAN K. ABDO MD

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