09D2247780 CLIA NUMBER - CITYWORLD FAMILY PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 09D2247780
  • Facility Name: CITYWORLD FAMILY PRACTICE LLC
  • Facility Address: 7603 GEORGIA AVE NW #101
    WASHINGTON, DC
    ZIP 20012
  • Facility Phone: 202 658-6844
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MIRANDA MBUTAMBE
  • NPI Number: 1578217196
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 09D2247780
LAB Type Practitioner Other
Facility Name CITYWORLD FAMILY PRACTICE LLC
Street 7603 GEORGIA AVE NW #101
City WASHINGTON
State DC
ZIP 20012
Phone 202 658-6844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Practitioner Other
Lab Director MIRANDA MBUTAMBE

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