09D2016566 CLIA NUMBER - WELLNESS DEPARTMENT POTOMAC JOB CORPS CENTER

Laboratory Demographics

  • CLIA Code: 09D2016566
  • Facility Name: WELLNESS DEPARTMENT POTOMAC JOB CORPS CENTER
  • Facility Address: 1 DC VILLAGE LANE, SW
    WASHINGTON, DC
    ZIP 20032
  • Facility Phone: 202 373-3051
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. ELIZABETH NOLTE
  • NPI Number: 1700466372
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 09D2016566
LAB Type School/Student Health Service
Facility Name WELLNESS DEPARTMENT POTOMAC JOB CORPS CENTER
Street 1 DC VILLAGE LANE, SW
City WASHINGTON
State DC
ZIP 20032
Phone 202 373-3051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type School/Student Health Service
Lab Director DR. ELIZABETH NOLTE

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