21D2099491 CLIA NUMBER - HARFORD PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 21D2099491
  • Facility Name: HARFORD PRIMARY CARE LLC
  • Facility Address: 622 S UNION AVENUE
    HAVRE DE GRACE, MD
    ZIP 21078
  • Facility Phone: 410 939-3770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SURESH DHANJANI
  • NPI Number: 1164282943
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2099491
LAB Type Physician Office
Facility Name HARFORD PRIMARY CARE LLC
Street 622 S UNION AVENUE
City HAVRE DE GRACE
State MD
ZIP 21078
Phone 410 939-3770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director DR. SURESH DHANJANI

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