21D0948325 CLIA NUMBER - BEL AIR DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D0948325
  • Facility Name: BEL AIR DIALYSIS
  • Facility Address: 2225 OLD EMMORTON ROAD STE105
    BEL AIR, MD
    ZIP 21015
  • Facility Phone: 410 515-2078
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HYUNG M. LIM MD
  • NPI Number: 1760442925
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0948325
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BEL AIR DIALYSIS
Street 2225 OLD EMMORTON ROAD STE105
City BEL AIR
State MD
ZIP 21015
Phone 410 515-2078
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HYUNG M. LIM MD

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