09D2129806 CLIA NUMBER - SPECIALTY HOME CARE

Laboratory Demographics

  • CLIA Code: 09D2129806
  • Facility Name: SPECIALTY HOME CARE
  • Facility Address: 6120 KANSAS AVENUE, NW 1ST FLOOR
    WASHINGTON, DC
    ZIP 20011
  • Facility Phone: (202) 829-1719
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ELIAS DEMOZ
  • NPI Number: 1619400058
  • Taxonomy: 385H00000X - Respite Care

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CLIA Record

Field Name Field Value
CLIA Number 09D2129806
LAB Type Home Health Agency
Facility Name SPECIALTY HOME CARE
Street 6120 KANSAS AVENUE, NW 1ST FLOOR
City WASHINGTON
State DC
ZIP 20011
Phone 2028291719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Home Health Agency
Lab Director ELIAS DEMOZ

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