09D0896019 CLIA NUMBER - KNOLLWOOD

Laboratory Demographics

  • CLIA Code: 09D0896019
  • Facility Name: KNOLLWOOD
  • Facility Address: 6200 OREGON AVENUE NW
    WASHINGTON, DC
    ZIP 20015
  • Facility Phone: 202 541-0150
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TINA SANDRI
  • NPI Number: 1316946668
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 09D0896019
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KNOLLWOOD
Street 6200 OREGON AVENUE NW
City WASHINGTON
State DC
ZIP 20015
Phone 202 541-0150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TINA SANDRI

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