09D2180129 CLIA NUMBER - COLLIN D CULLEN, MD, LLC

Laboratory Demographics

  • CLIA Code: 09D2180129
  • Facility Name: COLLIN D CULLEN, MD, LLC
  • Facility Address: 4400 JENIFER ST NW STE 350
    WASHINGTON, DC
    ZIP 20015
  • Facility Phone: 202 966-2828
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COLLIN D. CULLEN
  • NPI Number: 1952869984
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 09D2180129
LAB Type Physician Office
Facility Name COLLIN D CULLEN, MD, LLC
Street 4400 JENIFER ST NW STE 350
City WASHINGTON
State DC
ZIP 20015
Phone 202 966-2828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director COLLIN D. CULLEN

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