21D2286165 CLIA NUMBER - GERMANTOWN PRIMARY HEALTHCARE

Laboratory Demographics

  • CLIA Code: 21D2286165
  • Facility Name: GERMANTOWN PRIMARY HEALTHCARE
  • Facility Address: 12800 MIDDLEBROOK RD #205
    GERMANTOWN, MD
    ZIP 20874
  • Facility Phone: 202 631-9098
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAKHVINDER S. WADHWA
  • NPI Number: 1891937769
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2286165
LAB Type Physician Office
Facility Name GERMANTOWN PRIMARY HEALTHCARE
Street 12800 MIDDLEBROOK RD #205
City GERMANTOWN
State MD
ZIP 20874
Phone 202 631-9098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2023
Certificate Expiration Date 7/24/2025
Facility Type Physician Office
Lab Director DR. LAKHVINDER S. WADHWA

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This page was last updated on: 3/20/2025