09D2304383 CLIA NUMBER - ASTHMA & ALLERGY CENTER LLC

Laboratory Demographics

  • CLIA Code: 09D2304383
  • Facility Name: ASTHMA & ALLERGY CENTER LLC
  • Facility Address: 1145 19TH STREET NW STE #203
    WASHINGTON, DC
    ZIP 20036
  • Facility Phone: 202 861-8888
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JORDANA GOLDMAN
  • NPI Number: 1023997418
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 09D2304383
LAB Type Rural Health Clinic
Facility Name ASTHMA & ALLERGY CENTER LLC
Street 1145 19TH STREET NW STE #203
City WASHINGTON
State DC
ZIP 20036
Phone 202 861-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 5/12/2026
Facility Type Rural Health Clinic
Lab Director JORDANA GOLDMAN

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