21D0676703 CLIA NUMBER - CARDIO CARE LLC

Laboratory Demographics

CLIA Number: 21D0676703

Facility Name: CARDIO CARE LLC

Facility Address:
5530 WISCONSIN AVENUE STE 700
CHEVY CHASE, MD
ZIP 20815
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Facility Phone Number: 301 654-6442

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235293937

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024