09D0929366 CLIA NUMBER - JAMES SIMON MD PC ANDROLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 09D0929366
  • Facility Name: JAMES SIMON MD PC ANDROLOGY LABORATORY
  • Facility Address: 1850 M STREET, NW SUITE 450
    WASHINGTON, DC
    ZIP 20036
  • Facility Phone: 202 293-1000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES A. SIMON
  • NPI Number: 1700947256
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 09D0929366
LAB Type Physician Office
Facility Name JAMES SIMON MD PC ANDROLOGY LABORATORY
Street 1850 M STREET, NW SUITE 450
City WASHINGTON
State DC
ZIP 20036
Phone 202 293-1000
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director JAMES A. SIMON

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