09D2181947 CLIA NUMBER - CONFIDENT CARE MEDICAL LLC

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Laboratory Demographics

CLIA Number: 09D2181947

Facility Name: CONFIDENT CARE MEDICAL LLC

Facility Address:
1331 H STREET NW, SUITE 200
WASHINGTON, DC
ZIP 20005
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Facility Phone Number: 202 794-5186

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1942762570

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	09D2181947
LAB Type	Community Clinic
Facility Name	CONFIDENT CARE MEDICAL LLC
Street	1331 H STREET NW, SUITE 200
City	WASHINGTON
State	DC
ZIP	20005
Phone	202 794-5186
CertificateType	4
CertificateEffectiveDate	4/14/2024
CertificateExpirationDate	4/13/2026
FacilityType	Waiver

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