21D2110973 CLIA NUMBER - PRIMEDOC COLUMBIA

Laboratory Demographics

  • CLIA Code: 21D2110973
  • Facility Name: PRIMEDOC COLUMBIA
  • Facility Address: 5500 KNOLL NORTH DRIVE, SUITE 220
    COLUMBIA, MD
    ZIP 21045
  • Facility Phone: 410 730-7040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HARUTYUN HAROYAN
  • NPI Number: 1245684547
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2110973
LAB Type Physician Office
Facility Name PRIMEDOC COLUMBIA
Street 5500 KNOLL NORTH DRIVE, SUITE 220
City COLUMBIA
State MD
ZIP 21045
Phone 410 730-7040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Physician Office
Lab Director DR. HARUTYUN HAROYAN

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