09D2120897 CLIA NUMBER - DC HEALTH CARE INC II

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Field Name	Field Value
CLIA Number	09D2120897
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	DC HEALTH CARE INC II
Street	6506 EASTERN AVE, NE
City	WASHINGTON
State	DC
ZIP	20012
Phone	202 547-2008
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/26/2024
Certificate Expiration Date	10/25/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	MAMTA TIWARI

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