09D2144045 CLIA NUMBER - LIFELINE INC

Laboratory Demographics

  • CLIA Code: 09D2144045
  • Facility Name: LIFELINE INC
  • Facility Address: 1615 KENILWORTH AVENUE NE
    WASHINGTON, DC
    ZIP 20019
  • Facility Phone: 202 588-8036
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RHODA E. MAKINDE
  • NPI Number: 1083201727
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 09D2144045
LAB Type Home Health Agency
Facility Name LIFELINE INC
Street 1615 KENILWORTH AVENUE NE
City WASHINGTON
State DC
ZIP 20019
Phone 202 588-8036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Home Health Agency
Lab Director RHODA E. MAKINDE

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