09D2245998 CLIA NUMBER - CITYBLOCK MEDICAL PRACTICE DC PC

Laboratory Demographics

  • CLIA Code: 09D2245998
  • Facility Name: CITYBLOCK MEDICAL PRACTICE DC PC
  • Facility Address: 80 M STREET SE
    WASHINGTON, DC
    ZIP 20003
  • Facility Phone: 833 904-2273
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KAMERON L. MATTHEWS
  • NPI Number: 1861085102
  • Taxonomy: 261QM1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 09D2245998
LAB Type Mobile Laboratory
Facility Name CITYBLOCK MEDICAL PRACTICE DC PC
Street 80 M STREET SE
City WASHINGTON
State DC
ZIP 20003
Phone 833 904-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Mobile Laboratory
Lab Director KAMERON L. MATTHEWS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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