09D1048436 CLIA NUMBER - FAMILY AND MEDICAL COUNSELING

Laboratory Demographics

CLIA Number: 09D1048436

Facility Name: FAMILY AND MEDICAL COUNSELING

Facility Address:
2041 MLK JR AVE, SE SUITE 300
WASHINGTON, DC
ZIP 20020
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Facility Phone Number: 202 889-7900

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1124363072

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	09D1048436
LAB Type	Community Clinic
Facility Name	FAMILY AND MEDICAL COUNSELING
Street	2041 MLK JR AVE, SE SUITE 300
City	WASHINGTON
State	DC
ZIP	20020
Phone	202 889-7900
CertificateType	4
CertificateEffectiveDate	12/1/2023
CertificateExpirationDate	11/30/2025
FacilityType	Waiver

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