21D2170639 CLIA NUMBER - CAPITAL DIGESTIVE CARE LLC

Laboratory Demographics

  • CLIA Code: 21D2170639
  • Facility Name: CAPITAL DIGESTIVE CARE LLC
  • Facility Address: 15001 SHADY GROVE RD
    ROCKVILLE, MD
    ZIP 20850
  • Facility Phone: 240 485-5210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL WEINSTEIN
  • NPI Number: 1164683181
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2170639
LAB Type Physician Office
Facility Name CAPITAL DIGESTIVE CARE LLC
Street 15001 SHADY GROVE RD
City ROCKVILLE
State MD
ZIP 20850
Phone 240 485-5210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director MICHAEL WEINSTEIN

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