21D0724873 CLIA NUMBER - INDEPENDENT DIALYSIS FNDTN-CALVERT CTR

Laboratory Demographics

  • CLIA Code: 21D0724873
  • Facility Name: INDEPENDENT DIALYSIS FNDTN-CALVERT CTR
  • Facility Address: CALVERT CENTER 225 W DARES BEACH ROAD
    PRINCE FREDERICK, MD
    ZIP 20678
  • Facility Phone: 410 535-6300
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN J. SADLER
  • NPI Number: 1669480422
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0724873
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INDEPENDENT DIALYSIS FNDTN-CALVERT CTR
Street CALVERT CENTER 225 W DARES BEACH ROAD
City PRINCE FREDERICK
State MD
ZIP 20678
Phone 410 535-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHN J. SADLER

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This page was last updated on: 3/20/2025