09D0718736 CLIA NUMBER - BREAD FOR THE CITY

Laboratory Demographics

CLIA Number: 09D0718736

Facility Name: BREAD FOR THE CITY

Facility Address:
1525 7TH STREET NW
WASHINGTON, DC
ZIP 20001
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Facility Phone Number: 202 386-7020

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1699950311

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	09D0718736
LAB Type	Federally Qualified Health Center
Facility Name	BREAD FOR THE CITY
Street	1525 7TH STREET NW
City	WASHINGTON
State	DC
ZIP	20001
Phone	202 386-7020
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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