21D2201869 CLIA NUMBER - PREMIERE PRIMARY CARE CENTER

Laboratory Demographics

  • CLIA Code: 21D2201869
  • Facility Name: PREMIERE PRIMARY CARE CENTER
  • Facility Address: 8714 GEORGIA AVENUE
    SILVER SPRING, MD
    ZIP 20910
  • Facility Phone: (301) 588-2888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ADAKU C. ONUKOGU
  • NPI Number: 1205065174
  • Taxonomy: 207R00000X - Internal Medicine

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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 3015882888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Physician Office
Lab Director DR. ADAKU C. ONUKOGU

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This page was last updated on: 5/18/2026