21D2270731 CLIA NUMBER - PREMIER CHOICE PRIMARY & URGENT CARE

Laboratory Demographics

CLIA Number: 21D2270731

Facility Name: PREMIER CHOICE PRIMARY & URGENT CARE

Facility Address:
14446 LAYHILL RD
SILVER SPRING, MD
ZIP 20906
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Facility Phone Number: 240 293-6172

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407597552

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2270731
LAB Type	Physician Office
Facility Name	PREMIER CHOICE PRIMARY & URGENT CARE
Street	14446 LAYHILL RD
City	SILVER SPRING
State	MD
ZIP	20906
Phone	240 293-6172
CertificateType	4
CertificateEffectiveDate	10/20/2022
CertificateExpirationDate	10/19/2024
FacilityType	Waiver

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