09D1100467 CLIA NUMBER - CAPITAL HEART ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 09D1100467
  • Facility Name: CAPITAL HEART ASSOCIATES, PC
  • Facility Address: 5215 LOUGHBORO ROAD, NW SUITE 460
    WASHINGTON, DC
    ZIP 20016
  • Facility Phone: 202 686-9801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY J. DAVENPORT
  • NPI Number: 1104039650
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 09D1100467
LAB Type Physician Office
Facility Name CAPITAL HEART ASSOCIATES, PC
Street 5215 LOUGHBORO ROAD, NW SUITE 460
City WASHINGTON
State DC
ZIP 20016
Phone 202 686-9801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director NANCY J. DAVENPORT

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