21D2176525 CLIA NUMBER - EXCEPTIONAL PRIMARY & PREVENTIVE HEALTH CARE

Laboratory Demographics

  • CLIA Code: 21D2176525
  • Facility Name: EXCEPTIONAL PRIMARY & PREVENTIVE HEALTH CARE
  • Facility Address: 10301 GEORGIA AVENUE #209
    SILVER SPRING, MD
    ZIP 20902
  • Facility Phone: 240 641-4944
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FLORENCE F. ODUBAYO
  • NPI Number: 1336700251
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 21D2176525
LAB Type Physician Office
Facility Name EXCEPTIONAL PRIMARY & PREVENTIVE HEALTH CARE
Street 10301 GEORGIA AVENUE #209
City SILVER SPRING
State MD
ZIP 20902
Phone 240 641-4944
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director FLORENCE F. ODUBAYO

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