21D0676703 CLIA NUMBER - CARDIO CARE LLC

Laboratory Demographics

  • CLIA Code: 21D0676703
  • Facility Name: CARDIO CARE LLC
  • Facility Address: 5530 WISCONSIN AVENUE STE 700
    CHEVY CHASE, MD
    ZIP 20815
  • Facility Phone: 301 654-6442
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN S. KANOVSKY MD
  • NPI Number: 1235293937
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 21D0676703
LAB Type Physician Office
Facility Name CARDIO CARE LLC
Street 5530 WISCONSIN AVENUE STE 700
City CHEVY CHASE
State MD
ZIP 20815
Phone 301 654-6442
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARTIN S. KANOVSKY MD

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