09D2052532 CLIA NUMBER - GWU HOSPITAL AMBULATORY SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 09D2052532
  • Facility Name: GWU HOSPITAL AMBULATORY SURGICAL CENTER
  • Facility Address: 2120 L STREET, NW LOBBY LEVEL
    WASHINGTON, DC
    ZIP 20037
  • Facility Phone: 202 715-4881
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ANTONIA R. SEPULVEDA
  • NPI Number: 1619130044
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 09D2052532
LAB Type Ambulatory Surgery Center
Facility Name GWU HOSPITAL AMBULATORY SURGICAL CENTER
Street 2120 L STREET, NW LOBBY LEVEL
City WASHINGTON
State DC
ZIP 20037
Phone 202 715-4881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. ANTONIA R. SEPULVEDA

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