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21D0210619 CLIA NUMBER - BIOMEDICAL APPLICATIONS OF MD DBA BMA CAMP SPRINGS

Laboratory Demographics

CLIA Number: 21D0210619

Facility Name: BIOMEDICAL APPLICATIONS OF MD DBA BMA CAMP SPRINGS

Facility Address:
3700A ST BARNABAS RD
SUITLAND, MD
ZIP 20746
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Facility Phone Number: 301 423-5657

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver
NPI Number: 1558466334

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 21D0210619
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BIOMEDICAL APPLICATIONS OF MD DBA BMA CAMP SPRINGS
Street 3700A ST BARNABAS RD
City SUITLAND
State MD
ZIP 20746
Phone 301 423-5657
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024