09D2164745 CLIA NUMBER - KAHAK HEALTH CARE SERVICES

Laboratory Demographics

CLIA Number: 09D2164745

Facility Name: KAHAK HEALTH CARE SERVICES

Facility Address:
7826 EASTERN AVENUE NW SUITE #LL14
WASHINGTON, DC
ZIP 20012
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Facility Phone Number: 202 722-1700

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1568638187

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	09D2164745
LAB Type	Community Clinic
Facility Name	KAHAK HEALTH CARE SERVICES
Street	7826 EASTERN AVENUE NW SUITE #LL14
City	WASHINGTON
State	DC
ZIP	20012
Phone	202 722-1700
CertificateType	4
CertificateEffectiveDate	4/12/2023
CertificateExpirationDate	4/11/2025
FacilityType	Waiver

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