09D2257047 CLIA NUMBER - LIFE TREE HEALTH INC

Laboratory Demographics

CLIA Number: 09D2257047

Facility Name: LIFE TREE HEALTH INC

Facility Address:
2041 MARTIN LUTHER KING JR AVENUE SE
WASHINGTON, DC
ZIP 20020
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Facility Phone Number: 202 607-3875

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1851777189

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	09D2257047
LAB Type	Physician Office
Facility Name	LIFE TREE HEALTH INC
Street	2041 MARTIN LUTHER KING JR AVENUE SE
City	WASHINGTON
State	DC
ZIP	20020
Phone	202 607-3875
CertificateType	1
CertificateEffectiveDate	7/11/2023
CertificateExpirationDate	7/10/2025
FacilityType	Accreditation

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