09D0208805 CLIA NUMBER - CAPITOL CITY SNF LLC

Laboratory Demographics

  • CLIA Code: 09D0208805
  • Facility Name: CAPITOL CITY SNF LLC
  • Facility Address: 2425 25TH ST SE
    WASHINGTON, DC
    ZIP 20020
  • Facility Phone: 202 889-3600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL E. GILBERT
  • NPI Number: 1760028427
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 09D0208805
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CAPITOL CITY SNF LLC
Street 2425 25TH ST SE
City WASHINGTON
State DC
ZIP 20020
Phone 202 889-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. DANIEL E. GILBERT

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