09D2069487 CLIA NUMBER - WHOLISTIC II

Laboratory Demographics

CLIA Code: 09D2069487
Facility Name: WHOLISTIC II
Facility Address: 1226 LAWRENCE STREET NE
WASHINGTON, DC
ZIP 20017
Facility Phone: (202) 347-5334
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: MIATTA N. THOMAS
NPI Number: 1083883243
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	09D2069487
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	WHOLISTIC II
Street	1226 LAWRENCE STREET NE
City	WASHINGTON
State	DC
ZIP	20017
Phone	2023475334
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/23/2024
Certificate Expiration Date	10/22/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	MIATTA N. THOMAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026