09D2122269 CLIA NUMBER - ONE TENT HEALTH

Laboratory Demographics

  • CLIA Code: 09D2122269
  • Facility Name: ONE TENT HEALTH
  • Facility Address: 200 MASSACHUSETTS AVENUE NW, SEVENTH FLOOR
    WASHINGTON, DC
    ZIP 20001
  • Facility Phone: 508 272-8971
  • Facility Type: Other - TEMPORARY MULTI-SITE SCRE
  • Facility Type: Waiver
  • Lab Director: MACKENZIE W. COPLEY
  • NPI Number: 1740808427
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 09D2122269
LAB Type Other - TEMPORARY MULTI-SITE SCRE
Facility Name ONE TENT HEALTH
Street 200 MASSACHUSETTS AVENUE NW, SEVENTH FLOOR
City WASHINGTON
State DC
ZIP 20001
Phone 508 272-8971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Other - TEMPORARY MULTI-SITE SCRE
Lab Director MACKENZIE W. COPLEY

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