21D2034508 CLIA NUMBER - CAPITOL SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D2034508
  • Facility Name: CAPITOL SURGICAL CENTER LLC
  • Facility Address: 6410 ROCKLEDGE DRIVE, STE 110
    BETHESDA, MD
    ZIP 20817
  • Facility Phone: 301 530-7303
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. CALEB KROLL
  • NPI Number: 1245529189
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2034508
LAB Type Ambulatory Surgery Center
Facility Name CAPITOL SURGICAL CENTER LLC
Street 6410 ROCKLEDGE DRIVE, STE 110
City BETHESDA
State MD
ZIP 20817
Phone 301 530-7303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Ambulatory Surgery Center
Lab Director DR. CALEB KROLL

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