09D0890705 CLIA NUMBER - IDEAL NURSING SERVICES INC

Laboratory Demographics

  • CLIA Code: 09D0890705
  • Facility Name: IDEAL NURSING SERVICES INC
  • Facility Address: 820 UPSHUR STREET NW
    WASHINGTON, DC
    ZIP 20011
  • Facility Phone: 202 723-0304
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CAROL J. GRANT
  • NPI Number: 1154484251
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 09D0890705
LAB Type Home Health Agency
Facility Name IDEAL NURSING SERVICES INC
Street 820 UPSHUR STREET NW
City WASHINGTON
State DC
ZIP 20011
Phone 202 723-0304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Home Health Agency
Lab Director CAROL J. GRANT

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