09D1061040 CLIA NUMBER - MAHMOUD H MUSTAFA MD FACP

Laboratory Demographics

  • CLIA Code: 09D1061040
  • Facility Name: MAHMOUD H MUSTAFA MD FACP
  • Facility Address: 2311 M STREET NW SUITE 401
    WASHINGTON, DC
    ZIP 20037
  • Facility Phone: 202 331-3338
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MAHMOUD H. MUSTAFA
  • NPI Number: 1437118197
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 09D1061040
LAB Type Physician Office
Facility Name MAHMOUD H MUSTAFA MD FACP
Street 2311 M STREET NW SUITE 401
City WASHINGTON
State DC
ZIP 20037
Phone 202 331-3338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director MAHMOUD H. MUSTAFA

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