21D0922571 CLIA NUMBER - DIALYSIS NEWCO, LLC DBA US RENAL CARE OXON HILLS DIALYSIS

Laboratory Demographics

CLIA Number: 21D0922571

Facility Name: DIALYSIS NEWCO, LLC DBA US RENAL CARE OXON HILLS DIALYSIS

Facility Address:
5410 INDIAN HEAD HIGHWAY
OXON HILL, MD
ZIP 20745
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Facility Phone Number: 301 749-9307

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1669748190

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D0922571
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DIALYSIS NEWCO, LLC DBA US RENAL CARE OXON HILLS DIALYSIS
Street	5410 INDIAN HEAD HIGHWAY
City	OXON HILL
State	MD
ZIP	20745
Phone	301 749-9307
CertificateType	4
CertificateEffectiveDate	11/29/2022
CertificateExpirationDate	11/28/2024
FacilityType	Waiver

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