21D0718089 CLIA NUMBER - CAPITAL WOMENS CARE DIV 66

Laboratory Demographics

  • CLIA Code: 21D0718089
  • Facility Name: CAPITAL WOMENS CARE DIV 66
  • Facility Address: 7855 WALKER DR STE 20
    GREENBELT, MD
    ZIP 20770
  • Facility Phone: 301 249-4090
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IMAD S. MUFARRIJ
  • NPI Number: 1184443814
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 21D0718089
LAB Type Physician Office
Facility Name CAPITAL WOMENS CARE DIV 66
Street 7855 WALKER DR STE 20
City GREENBELT
State MD
ZIP 20770
Phone 301 249-4090
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 IMAD S. MUFARRIJ

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