09D0682571 CLIA NUMBER - MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 09D0682571
  • Facility Name: MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
  • Facility Address: 3800 RESERVOIR ROAD NW
    WASHINGTON, DC
    ZIP 20007
  • Facility Phone: 202 687-8053
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MARY K. SIDAWY
  • NPI Number: 1124589288
  • Taxonomy: 103G00000X - Clinical Neuropsychologist

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CLIA Record

Field Name Field Value
CLIA Number 09D0682571
LAB Type Hospital
Facility Name MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL
Street 3800 RESERVOIR ROAD NW
City WASHINGTON
State DC
ZIP 20007
Phone 202 687-8053
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Hospital
Lab Director DR. MARY K. SIDAWY

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