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09D2164770 CLIA NUMBER - LHCG CXXXXV, LLC D/B/A HOME CALL

Laboratory Demographics

CLIA Number: 09D2164770

Facility Name: LHCG CXXXXV, LLC D/B/A HOME CALL

Facility Address:
1220 12TH STREET SE, SUITE 0080A
WASHINGTON, DC
ZIP 20003
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Facility Phone Number: 202 905-0152

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1124580402

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 09D2164770
LAB Type Home Health Agency
Facility Name LHCG CXXXXV, LLC D/B/A HOME CALL
Street 1220 12TH STREET SE, SUITE 0080A
City WASHINGTON
State DC
ZIP 20003
Phone 202 905-0152
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