CLIA lab

CLIA 09D0912761: Carroll Manor Nursing and Rehab Center

Washington, DC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 09D0912761 belongs to Carroll Manor Nursing and Rehab Center in Washington, DC.

Certificate of Waiver, effective March 12, 2026, expires March 11, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 12, 2026
Certificate expiration
March 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 12, 1996
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Religious affiliation
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
09D0912761
Lab name
Carroll Manor Nursing and Rehab Center
Additional name
At Providence Hospital
Address
1150 Varnum Street NE, Washington, DC 20017
Phone
(202) 269-7100

Annual test volume the lab reported

Waived tests
24,608

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Carroll Manor Nursing and Rehab Center in Washington?

09D0912761, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Carroll Manor Nursing and Rehab Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 09D0912761 expire?

The CMS file lists March 11, 2028 as the certificate expiration date; the certificate took effect March 12, 2026.

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