CLIA lab

CLIA 09D1092966: Wholistic Services IV Inc

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

CLIA number 09D1092966 belongs to Wholistic Services IV Inc in Washington, DC.

Certificate of Waiver, effective January 30, 2026, expires January 29, 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
January 30, 2026
Certificate expiration
January 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 8, 2008
Facility type
Intermediate care facility for individuals with intellectual disabilities
Ownership (control type)
Proprietary
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
09D1092966
Lab name
Wholistic Services IV Inc
Address
1314 Perry Street NE, Washington, DC 20017
Phone
(202) 347-5334
Fax
(202) 347-1916

Annual test volume the lab reported

Waived tests
730

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

Other labs in Washington, DC

Related

Questions

What is the CLIA number for Wholistic Services IV Inc in Washington?

09D1092966, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wholistic Services IV Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 09D1092966 expire?

The CMS file lists January 29, 2028 as the certificate expiration date; the certificate took effect January 30, 2026.

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