09D2197338 CLIA NUMBER - NEIL L STARR, DDS, PC

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Laboratory Demographics

CLIA Number: 09D2197338

Facility Name: NEIL L STARR, DDS, PC

Facility Address:
1234 19TH STREET, SUITE 306
WASHINGTON, DC
ZIP 20036
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Facility Phone Number: 202 293-7177

Facility Type: Other - DENTIST

Certificate Type: Waiver

NPI Number: 1710026455

Taxonomy: 1223P0700X - Dentist
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

CLIA Record

Field Name	Field Value
CLIA Number	09D2197338
LAB Type	Other - DENTIST
Facility Name	NEIL L STARR, DDS, PC
Street	1234 19TH STREET, SUITE 306
City	WASHINGTON
State	DC
ZIP	20036
Phone	202 293-7177
CertificateType	4
CertificateEffectiveDate	10/23/2022
CertificateExpirationDate	10/22/2024
FacilityType	Waiver

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