48D1094842 CLIA NUMBER - PRIMARY CARE PLLC

Laboratory Demographics

  • CLIA Code: 48D1094842
  • Facility Name: PRIMARY CARE PLLC
  • Facility Address: 4A 4AA LA GRANDE PRINCESSE SUITE 1
    CHRISTIANSTED, VI
    ZIP 00820
  • Facility Phone: 340 718-7788
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARAKERE B. PRASAD
  • NPI Number: 1114116951
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 48D1094842
LAB Type Physician Office
Facility Name PRIMARY CARE PLLC
Street 4A 4AA LA GRANDE PRINCESSE SUITE 1
City CHRISTIANSTED
State VI
ZIP 00820
Phone 340 718-7788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director ARAKERE B. PRASAD

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