21D0888155 CLIA NUMBER - CAPITAL DIGESTIVE CARE, LLC

Laboratory Demographics

  • CLIA Code: 21D0888155
  • Facility Name: CAPITAL DIGESTIVE CARE, LLC
  • Facility Address: 5500 KNOLL NORTH DR #460
    COLUMBIA, MD
    ZIP 21045
  • Facility Phone: 410 730-9363
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY BERNSTEIN MD
  • NPI Number: 1104664648
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0888155
LAB Type Physician Office
Facility Name CAPITAL DIGESTIVE CARE, LLC
Street 5500 KNOLL NORTH DR #460
City COLUMBIA
State MD
ZIP 21045
Phone 410 730-9363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director JEFFREY BERNSTEIN MD

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