09D2118947 CLIA NUMBER - MARY'S CENTER FOR MATERNAL AND CHILD HEALTH CARE, INC

Laboratory Demographics

CLIA Number: 09D2118947

Facility Name: MARY'S CENTER FOR MATERNAL AND CHILD HEALTH CARE, INC

Facility Address:
100 GALLATIN STREET, NE
WASHINGTON, DC
ZIP 20011
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Facility Phone Number: 202 483-8196

Facility Type: Health Fair

Certificate Type: Microscopy

NPI Number: 1417535121

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	09D2118947
LAB Type	Health Fair
Facility Name	MARY'S CENTER FOR MATERNAL AND CHILD HEALTH CARE, INC
Street	100 GALLATIN STREET, NE
City	WASHINGTON
State	DC
ZIP	20011
Phone	202 483-8196
CertificateType	3
CertificateEffectiveDate	9/16/2022
CertificateExpirationDate	9/15/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024