21D0724874 CLIA NUMBER - INDEPENDENT DIALYSIS/PARKVIEW CENTER

Laboratory Demographics

CLIA Number: 21D0724874

Facility Name: INDEPENDENT DIALYSIS/PARKVIEW CENTER

Facility Address:
840 HOLLINS STREET
BALTIMORE, MD
ZIP 21201
Get Directions

Facility Phone Number: 410 468-0900

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1316954381

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D0724874
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	INDEPENDENT DIALYSIS/PARKVIEW CENTER
Street	840 HOLLINS STREET
City	BALTIMORE
State	MD
ZIP	21201
Phone	410 468-0900
CertificateType	4
CertificateEffectiveDate	10/24/2023
CertificateExpirationDate	10/23/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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