09D0991519 CLIA NUMBER - NORTHWEST NURSE PRACTITIONER ASSOCIATES

Laboratory Demographics

CLIA Code: 09D0991519
Facility Name: NORTHWEST NURSE PRACTITIONER ASSOCIATES
Facility Address: 3000 CONNECTICUT AVENUE, NW SUITE 338
WASHINGTON, DC
ZIP 20018
Facility Phone: (202) 483-6672
Facility Type: Practitioner Other
Facility Type: Microscopy
Lab Director: ERIN J. BAGSHAW
NPI Number: 1306941513
Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name	Field Value
CLIA Number	09D0991519
LAB Type	Practitioner Other
Facility Name	NORTHWEST NURSE PRACTITIONER ASSOCIATES
Street	3000 CONNECTICUT AVENUE, NW SUITE 338
City	WASHINGTON
State	DC
ZIP	20018
Phone	2024836672
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	9/21/2025
Certificate Expiration Date	9/20/2027
Facility Type	Practitioner Other
Lab Director	ERIN J. BAGSHAW

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This page was last updated on: 5/18/2026