09D2240389 CLIA NUMBER - PEACH STATE MEDICAL PRACTICE PC DBA KINDBODY OF DC

Laboratory Demographics

  • CLIA Code: 09D2240389
  • Facility Name: PEACH STATE MEDICAL PRACTICE PC DBA KINDBODY OF DC
  • Facility Address: 1111 19TH STREET NW #104
    WASHINGTON, DC
    ZIP 20036
  • Facility Phone: 202 301-3595
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. XIAOHONG LIU
  • NPI Number: 1306500665
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 09D2240389
LAB Type Physician Office
Facility Name PEACH STATE MEDICAL PRACTICE PC DBA KINDBODY OF DC
Street 1111 19TH STREET NW #104
City WASHINGTON
State DC
ZIP 20036
Phone 202 301-3595
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director DR. XIAOHONG LIU

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