09D2138860 CLIA NUMBER - CAPITAL CARE HOME CARE AGENCY

Laboratory Demographics

  • CLIA Code: 09D2138860
  • Facility Name: CAPITAL CARE HOME CARE AGENCY
  • Facility Address: 6856 EASTERN AVE NW SUITE 310
    WASHINGTON, DC
    ZIP 20012
  • Facility Phone: 202 722-1234
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MR. EDWAN MBAKU
  • NPI Number: 1447749593
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 09D2138860
LAB Type Home Health Agency
Facility Name CAPITAL CARE HOME CARE AGENCY
Street 6856 EASTERN AVE NW SUITE 310
City WASHINGTON
State DC
ZIP 20012
Phone 202 722-1234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Home Health Agency
Lab Director MR. EDWAN MBAKU

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