21D0945520 CLIA NUMBER - CAPITOL CARDIOLOGY ASSOCIATES

Laboratory Demographics

CLIA Number: 21D0945520

Facility Name: CAPITOL CARDIOLOGY ASSOCIATES

Facility Address:
8116 GOOD LUCK ROAD SUITE 305
LANHAM, MD
ZIP 20706
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Facility Phone Number: 301 552-1200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609855733

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name	Field Value
CLIA Number	21D0945520
LAB Type	Physician Office
Facility Name	CAPITOL CARDIOLOGY ASSOCIATES
Street	8116 GOOD LUCK ROAD SUITE 305
City	LANHAM
State	MD
ZIP	20706
Phone	301 552-1200
CertificateType	4
CertificateEffectiveDate	5/4/2024
CertificateExpirationDate	5/3/2026
FacilityType	Waiver

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