21D2186323 CLIA NUMBER - CAPITAL ORTHOPAEDIC SURGERY CENTER, LLC

Laboratory Demographics

CLIA Number: 21D2186323

Facility Name: CAPITAL ORTHOPAEDIC SURGERY CENTER, LLC

Facility Address:
20680 SENECA MEADOWS PARKWAY SUITE 200
GERMANTOWN, MD
ZIP 20876
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Facility Phone Number: 202 276-9197

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1548896095

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D2186323
LAB Type	Ambulatory Surgery Center
Facility Name	CAPITAL ORTHOPAEDIC SURGERY CENTER, LLC
Street	20680 SENECA MEADOWS PARKWAY SUITE 200
City	GERMANTOWN
State	MD
ZIP	20876
Phone	202 276-9197
CertificateType	4
CertificateEffectiveDate	6/16/2022
CertificateExpirationDate	6/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024