21D1083080 CLIA NUMBER - CAPITAL WOMEN'S CARE LLC

Laboratory Demographics

  • CLIA Code: 21D1083080
  • Facility Name: CAPITAL WOMEN'S CARE LLC
  • Facility Address: 600 GLEN AVENUE #104
    SALISBURY, MD
    ZIP 21804
  • Facility Phone: 410 543-9111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. GLEN SILAS
  • NPI Number: 1295554921
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 21D1083080
LAB Type Physician Office
Facility Name CAPITAL WOMEN'S CARE LLC
Street 600 GLEN AVENUE #104
City SALISBURY
State MD
ZIP 21804
Phone 410 543-9111
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 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director DR. GLEN SILAS

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