09D2032390 CLIA NUMBER - CAPITAL CARE, INC

Laboratory Demographics

CLIA Code: 09D2032390
Facility Name: CAPITAL CARE, INC
Facility Address: 2820 HARTFORD STREET, SE
WASHINGTON, DC
ZIP 20020
Facility Phone: 301 949-0466
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: MS. BRENDA ENO
NPI Number: 1366527111
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	09D2032390
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	CAPITAL CARE, INC
Street	2820 HARTFORD STREET, SE
City	WASHINGTON
State	DC
ZIP	20020
Phone	301 949-0466
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/9/2023
Certificate Expiration Date	11/8/2025
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	MS. BRENDA ENO

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