PRIME CARE FAMILY PRACTICE, P.C.
NPI 1881629384
Family Medicine in Prince George, VA
About Prime Care Family Practice, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME CARE FAMILY PRACTICE, P.C. (NPI 1881629384) is a healthcare organization registered as a family medicine in Prince George, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Deidra F. Mann, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2096506
- Facility Type
- Physician Office
- Certificate Effective Date
- May 27, 2025
- Certificate Expiration Date
- May 26, 2027
- Laboratory Director
- LISA C. SHAH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prime Care Family Practice, P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881629384, enumerated as an "organization" on July 12, 2006.
The provider is located at 4700 PUDDLEDOCK ROAD SUITE 300 PRINCE GEORGE, VA 23875 and the phone number is (804) 526-1111.
Family Medicine with taxonomy code 207Q00000X.
