21D2258003 CLIA NUMBER - FIRSTCHOICE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 21D2258003
  • Facility Name: FIRSTCHOICE PRIMARY CARE
  • Facility Address: 9841 WASHINGTONIAN BLVD #200
    GAITHERSBURG, MD
    ZIP 20878
  • Facility Phone: 240 720-7797
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AIRELLE RUCKER-SMITH
  • NPI Number: 1376203133
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2258003
LAB Type Practitioner Other
Facility Name FIRSTCHOICE PRIMARY CARE
Street 9841 WASHINGTONIAN BLVD #200
City GAITHERSBURG
State MD
ZIP 20878
Phone 240 720-7797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Practitioner Other
Lab Director AIRELLE RUCKER-SMITH

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