21D0209352 CLIA NUMBER - CAPITAL WOMEN'S CARE DIVISION 35

Laboratory Demographics

  • CLIA Code: 21D0209352
  • Facility Name: CAPITAL WOMEN'S CARE DIVISION 35
  • Facility Address: 11350 PEMBROOKE SQ STE 302
    WALDORF, MD
    ZIP 20603
  • Facility Phone: 301 645-1768
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ARTHUR E. KANE MD
  • NPI Number: 1942021076
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 21D0209352
LAB Type Physician Office
Facility Name CAPITAL WOMEN'S CARE DIVISION 35
Street 11350 PEMBROOKE SQ STE 302
City WALDORF
State MD
ZIP 20603
Phone 301 645-1768
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ARTHUR E. KANE MD

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