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21D2201869 CLIA NUMBER - PREMIERE PRIMARY CARE CENTER

Laboratory Demographics

CLIA Number: 21D2201869

Facility Name: PREMIERE PRIMARY CARE CENTER

Facility Address:
8714 GEORGIA AVENUE
SILVER SPRING, MD
ZIP 20910
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Facility Phone Number: 301 588-2888

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1205065174

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 21D2201869
LAB Type Physician Office
Facility Name PREMIERE PRIMARY CARE CENTER
Street 8714 GEORGIA AVENUE
City SILVER SPRING
State MD
ZIP 20910
Phone 301 588-2888
CertificateType 4
CertificateEffectiveDate 11/24/2022
CertificateExpirationDate 11/23/2024
FacilityType Waiver

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