21D2173283 CLIA NUMBER - PRIMARY MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 21D2173283
  • Facility Name: PRIMARY MEDICINE, LLC
  • Facility Address: 14113 BALTIMORE AVE #A
    LAUREL, MD
    ZIP 20707
  • Facility Phone: 301 498-9494
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAVEH SADEGHI
  • NPI Number: 1841617941
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2173283
LAB Type Physician Office
Facility Name PRIMARY MEDICINE, LLC
Street 14113 BALTIMORE AVE #A
City LAUREL
State MD
ZIP 20707
Phone 301 498-9494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Physician Office
Lab Director KAVEH SADEGHI

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