09D2117560 CLIA NUMBER - ABA HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 09D2117560
  • Facility Name: ABA HOME HEALTH CARE
  • Facility Address: 821 KENNEDY STREET NW
    WASHINGTON, DC
    ZIP 20011
  • Facility Phone: 202 722-1725
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KUNGANG M. FORETIA
  • NPI Number: 1114014685
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 09D2117560
LAB Type Home Health Agency
Facility Name ABA HOME HEALTH CARE
Street 821 KENNEDY STREET NW
City WASHINGTON
State DC
ZIP 20011
Phone 202 722-1725
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Home Health Agency
Lab Director KUNGANG M. FORETIA

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