21D0861227 CLIA NUMBER - WASHINGTON NEPHROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D0861227
  • Facility Name: WASHINGTON NEPHROLOGY ASSOCIATES
  • Facility Address: 200 E 33RD STREET STE 523
    BALTIMORE, MD
    ZIP 21218
  • Facility Phone: 410 235-9382
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSELITO CABACAR
  • NPI Number: 1790585982
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0861227
LAB Type Physician Office
Facility Name WASHINGTON NEPHROLOGY ASSOCIATES
Street 200 E 33RD STREET STE 523
City BALTIMORE
State MD
ZIP 21218
Phone 410 235-9382
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director JOSELITO CABACAR

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This page was last updated on: 9/29/2025