21D2329442 CLIA NUMBER - PREMIER PROVIDERS INC

Laboratory Demographics

  • CLIA Code: 21D2329442
  • Facility Name: PREMIER PROVIDERS INC
  • Facility Address: 6305 IVY LANE SUITE 310
    GREENBELT, MD
    ZIP 20770
  • Facility Phone: 240 475-9988
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: AARON WHITE
  • NPI Number: 1629962774
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 21D2329442
LAB Type Ambulance
Facility Name PREMIER PROVIDERS INC
Street 6305 IVY LANE SUITE 310
City GREENBELT
State MD
ZIP 20770
Phone 240 475-9988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Ambulance
Lab Director AARON WHITE

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