09D2104572 CLIA NUMBER - ONE MEDICAL WITH MEDSTAR HEALTH

Laboratory Demographics

  • CLIA Code: 09D2104572
  • Facility Name: ONE MEDICAL WITH MEDSTAR HEALTH
  • Facility Address: 601 NEW JERSEY AVE, NW, SUITE 200
    WASHINGTON, DC
    ZIP 20001
  • Facility Phone: 888 663-6331
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MS. AMY E. STULMAN
  • NPI Number: 1417571530
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 09D2104572
LAB Type Physician Office
Facility Name ONE MEDICAL WITH MEDSTAR HEALTH
Street 601 NEW JERSEY AVE, NW, SUITE 200
City WASHINGTON
State DC
ZIP 20001
Phone 888 663-6331
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director MS. AMY E. STULMAN

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: 9/29/2025