21D0961108 CLIA NUMBER - RIVERTOWNE DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D0961108
  • Facility Name: RIVERTOWNE DIALYSIS
  • Facility Address: 6169 LIVINGSTON RD
    OXON HILL, MD
    ZIP 20745
  • Facility Phone: 301 749-1713
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WEN SHEN
  • NPI Number: 1508868571
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0961108
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIVERTOWNE DIALYSIS
Street 6169 LIVINGSTON RD
City OXON HILL
State MD
ZIP 20745
Phone 301 749-1713
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WEN SHEN

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