09D0937345 CLIA NUMBER - MARY'S CENTER FOR MATERNAL & CHILD CARE, INC

Laboratory Demographics

CLIA Number: 09D0937345

Facility Name: MARY'S CENTER FOR MATERNAL & CHILD CARE, INC

Facility Address:
2333 ONTARIO ROAD, NW
WASHINGTON, DC
ZIP 20009
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Facility Phone Number: 202 483-8196

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1821341249

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	09D0937345
LAB Type	Federally Qualified Health Center
Facility Name	MARY'S CENTER FOR MATERNAL & CHILD CARE, INC
Street	2333 ONTARIO ROAD, NW
City	WASHINGTON
State	DC
ZIP	20009
Phone	202 483-8196
CertificateType	3
CertificateEffectiveDate	12/15/2023
CertificateExpirationDate	12/14/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024