21D2274812 CLIA NUMBER - RAVI PASSI MD DBA ADVANCED PRIMARY & GERIATRIC CAR

Laboratory Demographics

  • CLIA Code: 21D2274812
  • Facility Name: RAVI PASSI MD DBA ADVANCED PRIMARY & GERIATRIC CAR
  • Facility Address: 15245 SHADY GROVE ROAD SUITE 145
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 301 527-1650
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVI PASSI
  • NPI Number: 1114921665
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2274812
LAB Type Physician Office
Facility Name RAVI PASSI MD DBA ADVANCED PRIMARY & GERIATRIC CAR
Street 15245 SHADY GROVE ROAD SUITE 145
City ROCKVILLE
State MD
ZIP 20850
Phone 301 527-1650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director RAVI PASSI

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