09D2229208 CLIA NUMBER - SOSAB LLC

Laboratory Demographics

  • CLIA Code: 09D2229208
  • Facility Name: SOSAB LLC
  • Facility Address: 700 PENNSLYVANIA AVE
    WASHINGTON, DC
    ZIP 20003
  • Facility Phone: 800 681-4180
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: LISA R. GRYMES
  • NPI Number: 1407521933
  • Taxonomy: 171400000X - Health and Wellness Coach

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CLIA Record

Field Name Field Value
CLIA Number 09D2229208
LAB Type Health Fair
Facility Name SOSAB LLC
Street 700 PENNSLYVANIA AVE
City WASHINGTON
State DC
ZIP 20003
Phone 800 681-4180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Health Fair
Lab Director LISA R. GRYMES

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