09D2273467 CLIA NUMBER - FERNANDO PORTER

Laboratory Demographics

  • CLIA Code: 09D2273467
  • Facility Name: FERNANDO PORTER
  • Facility Address: 1145 19TH STREET, SUITE 200
    WASHINGTON, DC
    ZIP 20036
  • Facility Phone: 301 337-2004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FERNANDO PORTER
  • NPI Number: 1427334168
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 09D2273467
LAB Type Physician Office
Facility Name FERNANDO PORTER
Street 1145 19TH STREET, SUITE 200
City WASHINGTON
State DC
ZIP 20036
Phone 301 337-2004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director DR. FERNANDO PORTER

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