09D1011536 CLIA NUMBER - WHITMAN WALKER CLINIC MRC

Laboratory Demographics

  • CLIA Code: 09D1011536
  • Facility Name: WHITMAN WALKER CLINIC MRC
  • Facility Address: 1201 SYCAMORE DRIVE SE
    WASHINGTON, DC
    ZIP 20032
  • Facility Phone: 202 939-7650
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SARAH L. HENN
  • NPI Number: 1821113341
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 09D1011536
LAB Type Federally Qualified Health Center
Facility Name WHITMAN WALKER CLINIC MRC
Street 1201 SYCAMORE DRIVE SE
City WASHINGTON
State DC
ZIP 20032
Phone 202 939-7650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Federally Qualified Health Center
Lab Director SARAH L. HENN

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This page was last updated on: 3/20/2025