21D2308889 CLIA NUMBER - PRIMEMED LLC

Laboratory Demographics

  • CLIA Code: 21D2308889
  • Facility Name: PRIMEMED LLC
  • Facility Address: 6815 MAURLEEN RD
    BALTIMORE, MD
    ZIP 21209
  • Facility Phone: 410 499-3799
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIYAHU WIENER
  • NPI Number: 1437978152
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2308889
LAB Type Physician Office
Facility Name PRIMEMED LLC
Street 6815 MAURLEEN RD
City BALTIMORE
State MD
ZIP 21209
Phone 410 499-3799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director ELIYAHU WIENER

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