09D0955126 CLIA NUMBER - PROFESSIONAL HEALTHCARE RESOURCES OF WASHINGTON DC INC

Laboratory Demographics

  • CLIA Code: 09D0955126
  • Facility Name: PROFESSIONAL HEALTHCARE RESOURCES OF WASHINGTON DC INC
  • Facility Address: 501 SCHOOL ST, SW STE 200
    WASHINGTON, DC
    ZIP 20024
  • Facility Phone: 202 955-8355
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOELLEN LANE
  • NPI Number: 1871960567
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 09D0955126
LAB Type Home Health Agency
Facility Name PROFESSIONAL HEALTHCARE RESOURCES OF WASHINGTON DC INC
Street 501 SCHOOL ST, SW STE 200
City WASHINGTON
State DC
ZIP 20024
Phone 202 955-8355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Home Health Agency
Lab Director JOELLEN LANE

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