09D1050142 CLIA NUMBER - SOUTHEAST CBOC

Laboratory Demographics

CLIA Number: 09D1050142

Facility Name: SOUTHEAST CBOC

Facility Address:
820 CHESAPEAKE ST SE
WASHINGTON, DC
ZIP 20032
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Facility Phone Number: 202 745-8685

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1699166728

Taxonomy: 122300000X - Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

CLIA Record

Field Name Field Value
CLIA Number 09D1050142
LAB Type Community Clinic
Facility Name SOUTHEAST CBOC
Street 820 CHESAPEAKE ST SE
City WASHINGTON
State DC
ZIP 20032
Phone 202 745-8685
CertificateType 1
CertificateEffectiveDate 1/26/2006
CertificateExpirationDate 5/22/2026
FacilityType Accreditation

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