21D2187188 CLIA NUMBER - AKACHI PRIMARY AND URGENT CARE

Laboratory Demographics

CLIA Number: 21D2187188

Facility Name: AKACHI PRIMARY AND URGENT CARE

Facility Address:
8957 EDMONSTON RD SUITE P
GREENBELT, MD
ZIP 20770
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Facility Phone Number: 410 696-1989

Facility Type: Practitioner Other

Certificate Type: Microscopy

NPI Number: 1962160382

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2187188
LAB Type	Practitioner Other
Facility Name	AKACHI PRIMARY AND URGENT CARE
Street	8957 EDMONSTON RD SUITE P
City	GREENBELT
State	MD
ZIP	20770
Phone	410 696-1989
CertificateType	3
CertificateEffectiveDate	6/26/2022
CertificateExpirationDate	6/25/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024