09D2263063 CLIA NUMBER - HIBISCUS MEDICAL, PLLC

Laboratory Demographics

  • CLIA Code: 09D2263063
  • Facility Name: HIBISCUS MEDICAL, PLLC
  • Facility Address: 430 GALLOWAY STREET, NE SUITE A
    WASHINGTON, DC
    ZIP 20011
  • Facility Phone: 202 350-1546
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DEBRALEE B. FREDERICK
  • NPI Number: 1154948362
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 09D2263063
LAB Type Physician Office
Facility Name HIBISCUS MEDICAL, PLLC
Street 430 GALLOWAY STREET, NE SUITE A
City WASHINGTON
State DC
ZIP 20011
Phone 202 350-1546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director DR. DEBRALEE B. FREDERICK

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