09D2091166 CLIA NUMBER - EMERSON CLINICAL RESEARCH INSTITUTE

Laboratory Demographics

  • CLIA Code: 09D2091166
  • Facility Name: EMERSON CLINICAL RESEARCH INSTITUTE
  • Facility Address: 1718 CONNECTICUT AVE NW 4TH FLOOR
    WASHINGTON, DC
    ZIP 20009
  • Facility Phone: (202) 239-0777
  • Facility Type: Other - CLINICAL RESEARCH
  • Facility Type: Waiver
  • Lab Director: DR. FABIAN SANDOVAL
  • NPI Number: 1972099083
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 09D2091166
LAB Type Other - CLINICAL RESEARCH
Facility Name EMERSON CLINICAL RESEARCH INSTITUTE
Street 1718 CONNECTICUT AVE NW 4TH FLOOR
City WASHINGTON
State DC
ZIP 20009
Phone 2022390777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Other - CLINICAL RESEARCH
Lab Director DR. FABIAN SANDOVAL

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