21D1052007 CLIA NUMBER - CAPITAL WOMENS CARE

Laboratory Demographics

  • CLIA Code: 21D1052007
  • Facility Name: CAPITAL WOMENS CARE
  • Facility Address: 5 PARK CENTER COURT STE 303
    OWINGS MILLS, MD
    ZIP 21117
  • Facility Phone: 410 832-5511
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT F. PEGUES
  • NPI Number: 1508688094
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 21D1052007
LAB Type Physician Office
Facility Name CAPITAL WOMENS CARE
Street 5 PARK CENTER COURT STE 303
City OWINGS MILLS
State MD
ZIP 21117
Phone 410 832-5511
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 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Physician Office
Lab Director ROBERT F. PEGUES

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