21D0980181 CLIA NUMBER - DUNDALK DIALYSIS

Laboratory Demographics

CLIA Number: 21D0980181

Facility Name: DUNDALK DIALYSIS

Facility Address:
14 COMMERCE STREET
DUNDALK, MD
ZIP 21222
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Facility Phone Number: 410 284-9000

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1144280736

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	21D0980181
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	DUNDALK DIALYSIS
Street	14 COMMERCE STREET
City	DUNDALK
State	MD
ZIP	21222
Phone	410 284-9000
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Waiver

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