09D0926476 CLIA NUMBER - CHEVY CHASE HOUSE

Laboratory Demographics

  • CLIA Code: 09D0926476
  • Facility Name: CHEVY CHASE HOUSE
  • Facility Address: 5420 CONNECTICUT AVENUE NW
    WASHINGTON, DC
    ZIP 20015
  • Facility Phone: 202 686-5504
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BRANDON STEPHENS
  • NPI Number: 1467577650
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 09D0926476
LAB Type Other
Facility Name CHEVY CHASE HOUSE
Street 5420 CONNECTICUT AVENUE NW
City WASHINGTON
State DC
ZIP 20015
Phone 202 686-5504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Other
Lab Director BRANDON STEPHENS

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