09D0903562 CLIA NUMBER - WASHINGTON SOUTHEAST DIALYSIS

Laboratory Demographics

  • CLIA Code: 09D0903562
  • Facility Name: WASHINGTON SOUTHEAST DIALYSIS
  • Facility Address: 3857-A PENNSYLVANIA AVENUE, SE
    WASHINGTON, DC
    ZIP 20020
  • Facility Phone: 202 581-9440
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. DOMINIC S. RAJ
  • NPI Number: 1033357348
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 09D0903562
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WASHINGTON SOUTHEAST DIALYSIS
Street 3857-A PENNSYLVANIA AVENUE, SE
City WASHINGTON
State DC
ZIP 20020
Phone 202 581-9440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. DOMINIC S. RAJ

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