21D2173821 CLIA NUMBER - PRIMARY MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 21D2173821
  • Facility Name: PRIMARY MEDICINE LLC
  • Facility Address: 7243 HANOVER PARKWAY B
    GREENBELT, MD
    ZIP 20770
  • Facility Phone: 301 459-8109
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KAVEH SADEGHI
  • NPI Number: 1114165354
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2173821
LAB Type Physician Office
Facility Name PRIMARY MEDICINE LLC
Street 7243 HANOVER PARKWAY B
City GREENBELT
State MD
ZIP 20770
Phone 301 459-8109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Physician Office
Lab Director DR. KAVEH SADEGHI

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