09D0208979 CLIA NUMBER - INTERNIST OF WASHINGTON,THE

Laboratory Demographics

  • CLIA Code: 09D0208979
  • Facility Name: INTERNIST OF WASHINGTON,THE
  • Facility Address: 1140 19TH STREET, NW SUITE 805
    WASHINGTON, DC
    ZIP 20036
  • Facility Phone: 202 728-9630
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALICE FUISZ
  • NPI Number: 1114191913
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 09D0208979
LAB Type Physician Office
Facility Name INTERNIST OF WASHINGTON,THE
Street 1140 19TH STREET, NW SUITE 805
City WASHINGTON
State DC
ZIP 20036
Phone 202 728-9630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2023
Certificate Expiration Date 7/8/2025
Facility Type Physician Office
Lab Director ALICE FUISZ

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This page was last updated on: 6/4/2025