09D2140055 CLIA NUMBER - CURACAPITOL

Laboratory Demographics

CLIA Number: 09D2140055

Facility Name: CURACAPITOL

Facility Address:
1140 VARNUM ST NE STE 208-B
WASHINGTON, DC
ZIP 20017
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Facility Phone Number: 202 930-2380

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386155539

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	09D2140055
LAB Type	Physician Office
Facility Name	CURACAPITOL
Street	1140 VARNUM ST NE STE 208-B
City	WASHINGTON
State	DC
ZIP	20017
Phone	202 930-2380
CertificateType	4
CertificateEffectiveDate	11/14/2023
CertificateExpirationDate	11/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024