09D2140065 CLIA NUMBER - CONVENIENT CLINIC, THE

Laboratory Demographics

  • CLIA Code: 09D2140065
  • Facility Name: CONVENIENT CLINIC, THE
  • Facility Address: 1160 VARNUM ST NE SUITE 307
    WASHINGTON, DC
    ZIP 20017
  • Facility Phone: 240 810-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KUMAPLEY K. LARTEVI
  • NPI Number: 1922690619
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 09D2140065
LAB Type Physician Office
Facility Name CONVENIENT CLINIC, THE
Street 1160 VARNUM ST NE SUITE 307
City WASHINGTON
State DC
ZIP 20017
Phone 240 810-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director DR. KUMAPLEY K. LARTEVI

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