09D2258386 CLIA NUMBER - DUPONT CIRCLE PHARMACY

Laboratory Demographics

  • CLIA Code: 09D2258386
  • Facility Name: DUPONT CIRCLE PHARMACY
  • Facility Address: 1506 21ST STREET NW, SUITE 100
    WASHINGTON, DC
    ZIP 20036
  • Facility Phone: 202 818-8070
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALFRED ADDICO
  • NPI Number: 1881121168
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 09D2258386
LAB Type Pharmacy
Facility Name DUPONT CIRCLE PHARMACY
Street 1506 21ST STREET NW, SUITE 100
City WASHINGTON
State DC
ZIP 20036
Phone 202 818-8070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Pharmacy
Lab Director ALFRED ADDICO

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