09D2128799 CLIA NUMBER - MICHAEL J GRADY, MD PC

Laboratory Demographics

  • CLIA Code: 09D2128799
  • Facility Name: MICHAEL J GRADY, MD PC
  • Facility Address: 4910 MASS AVE, NW #114
    WASHINGTON, DC
    ZIP 20016
  • Facility Phone: (202) 686-0813
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL J. GRADY
  • NPI Number: 1487834735
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 09D2128799
LAB Type Physician Office
Facility Name MICHAEL J GRADY, MD PC
Street 4910 MASS AVE, NW #114
City WASHINGTON
State DC
ZIP 20016
Phone 2026860813
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director DR. MICHAEL J. GRADY

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This page was last updated on: 5/18/2026