21D0869758 CLIA NUMBER - MID ATLANTIC NEPHROLOGY ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 21D0869758
  • Facility Name: MID ATLANTIC NEPHROLOGY ASSOCIATES PA
  • Facility Address: 301 ST PAUL PLACE SUITE # 605
    BALTIMORE, MD
    ZIP 21202
  • Facility Phone: 410 332-1111
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Microscopy
  • Lab Director: PAUL E. TURER MD
  • NPI Number: 1609268390
  • Taxonomy: 2085U0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 21D0869758
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MID ATLANTIC NEPHROLOGY ASSOCIATES PA
Street 301 ST PAUL PLACE SUITE # 605
City BALTIMORE
State MD
ZIP 21202
Phone 410 332-1111
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PAUL E. TURER MD

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