09D0645032 CLIA NUMBER - WINSTON R FREDERICK, MD

Laboratory Demographics

  • CLIA Code: 09D0645032
  • Facility Name: WINSTON R FREDERICK, MD
  • Facility Address: 1160 VARNUM STREET, NE, SUITE 016
    WASHINGTON, DC
    ZIP 20017
  • Facility Phone: (202) 526-6442
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: DR. WINSTON R. FREDERICK
  • NPI Number: 1720100340
  • Taxonomy: 207RI0200X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 09D0645032
LAB Type Hospital
Facility Name WINSTON R FREDERICK, MD
Street 1160 VARNUM STREET, NE, SUITE 016
City WASHINGTON
State DC
ZIP 20017
Phone 2025266442
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 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Hospital
Lab Director DR. WINSTON R. FREDERICK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026