09D2188845 CLIA NUMBER - DEPARTMENT OF BEHAVIORAL HEALTH ASSESSMENT AND REFERRLA CENTER

Laboratory Demographics

CLIA Number: 09D2188845

Facility Name: DEPARTMENT OF BEHAVIORAL HEALTH ASSESSMENT AND REFERRLA CENTER

Facility Address:
75 P STREET NE
WASHINGTON, DC
ZIP 20002
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Facility Phone Number: 202 673-3449

Facility Type: Other - GOV SUBST ABUSE ASSEMENT

Certificate Type: Waiver

NPI Number: 1063643880

Taxonomy: 261QP2400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	09D2188845
LAB Type	Other - GOV SUBST ABUSE ASSEMENT
Facility Name	DEPARTMENT OF BEHAVIORAL HEALTH ASSESSMENT AND REFERRLA CENTER
Street	75 P STREET NE
City	WASHINGTON
State	DC
ZIP	20002
Phone	202 673-3449
CertificateType	4
CertificateEffectiveDate	7/22/2022
CertificateExpirationDate	7/21/2024
FacilityType	Waiver

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