09D2032390 CLIA NUMBER - CAPITAL CARE, INC

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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