21D2039591 CLIA NUMBER - CAPITAL WOMENS CARE- ELDERSBURG

Laboratory Demographics

  • CLIA Code: 21D2039591
  • Facility Name: CAPITAL WOMENS CARE- ELDERSBURG
  • Facility Address: 1380 PROGRESS WAY SUITE 102
    ELDERSBURG, MD
    ZIP 21784
  • Facility Phone: 410 876-3335
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL BARNETT
  • NPI Number: 1205655040
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 21D2039591
LAB Type Physician Office
Facility Name CAPITAL WOMENS CARE- ELDERSBURG
Street 1380 PROGRESS WAY SUITE 102
City ELDERSBURG
State MD
ZIP 21784
Phone 410 876-3335
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 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director MICHAEL BARNETT

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