21D0878025 CLIA NUMBER - BERTHA SIRK DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 21D0878025
  • Facility Name: BERTHA SIRK DIALYSIS CENTER
  • Facility Address: 5820 YORK ROAD SUITE 10
    BALTIMORE, MD
    ZIP 21212
  • Facility Phone: 410 532-9311
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARY A. PIEPRZAK
  • NPI Number: 1922068196
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0878025
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BERTHA SIRK DIALYSIS CENTER
Street 5820 YORK ROAD SUITE 10
City BALTIMORE
State MD
ZIP 21212
Phone 410 532-9311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARY A. PIEPRZAK

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