09D2017900 CLIA NUMBER - UNIVERSITY OF THE DISTRICT OF COLUMBIA STUDENT HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 09D2017900
  • Facility Name: UNIVERSITY OF THE DISTRICT OF COLUMBIA STUDENT HEALTH SERVICES
  • Facility Address: 4200 CONNECTICUT AVE, NW BUILDING 44 RM A40
    WASHINGTON, DC
    ZIP 20008
  • Facility Phone: 202 274-5030
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: AYANA M. ELLIOTT
  • NPI Number: 1982919296
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 09D2017900
LAB Type School/Student Health Service
Facility Name UNIVERSITY OF THE DISTRICT OF COLUMBIA STUDENT HEALTH SERVICES
Street 4200 CONNECTICUT AVE, NW BUILDING 44 RM A40
City WASHINGTON
State DC
ZIP 20008
Phone 202 274-5030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type School/Student Health Service
Lab Director AYANA M. ELLIOTT

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