09D1080440 CLIA NUMBER - RENAISSANCE ADHC

Laboratory Demographics

  • CLIA Code: 09D1080440
  • Facility Name: RENAISSANCE ADHC
  • Facility Address: 5214 FOOTE STREET NE
    WASHINGTON, DC
    ZIP 20019
  • Facility Phone: 202 388-6747
  • Facility Type: Other - MEDICAL ADULT DAY CENTER
  • Facility Type: Waiver
  • Lab Director: VALERYA BALANNIK
  • NPI Number: 1407016660
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 09D1080440
LAB Type Other - MEDICAL ADULT DAY CENTER
Facility Name RENAISSANCE ADHC
Street 5214 FOOTE STREET NE
City WASHINGTON
State DC
ZIP 20019
Phone 202 388-6747
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Other - MEDICAL ADULT DAY CENTER
Lab Director VALERYA BALANNIK

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This page was last updated on: 9/29/2025