09D2032390 CLIA NUMBER - CAPITAL CARE, INC

Laboratory Demographics

CLIA Number: 09D2032390

Facility Name: CAPITAL CARE, INC

Facility Address:
2820 HARTFORD STREET, SE
WASHINGTON, DC
ZIP 20020
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Facility Phone Number: 301 949-0466

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver

NPI Number: 1366527111

Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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
CertificateType 4
CertificateEffectiveDate 11/9/2023
CertificateExpirationDate 11/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024