21D1081158 CLIA NUMBER - CAPITAL HEALTHCARE MSO INC DBA ALLCARE ELLICOTT CI

Laboratory Demographics

  • CLIA Code: 21D1081158
  • Facility Name: CAPITAL HEALTHCARE MSO INC DBA ALLCARE ELLICOTT CI
  • Facility Address: 9398 BALTIMORE NATIONAL PIKE
    ELLICOTT CITY, MD
    ZIP 21042
  • Facility Phone: 304 312-3281
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HEATHER ELSNER-BOLDT
  • NPI Number: 1356760854
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1081158
LAB Type Physician Office
Facility Name CAPITAL HEALTHCARE MSO INC DBA ALLCARE ELLICOTT CI
Street 9398 BALTIMORE NATIONAL PIKE
City ELLICOTT CITY
State MD
ZIP 21042
Phone 304 312-3281
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director DR. HEATHER ELSNER-BOLDT

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