09D2295992 CLIA NUMBER - CAPITOL PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 09D2295992
  • Facility Name: CAPITOL PRIMARY CARE
  • Facility Address: 1331H ST NW STE 200
    WASHINGTON, DC
    ZIP 20005
  • Facility Phone: 202 810-7822
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD MCCLENDON
  • NPI Number: 1568130607
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 09D2295992
LAB Type Physician Office
Facility Name CAPITOL PRIMARY CARE
Street 1331H ST NW STE 200
City WASHINGTON
State DC
ZIP 20005
Phone 202 810-7822
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director RICHARD MCCLENDON

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