21D0996656 CLIA NUMBER - ARA-ADELPHI LLC

Laboratory Demographics

  • CLIA Code: 21D0996656
  • Facility Name: ARA-ADELPHI LLC
  • Facility Address: 1801 METZEROTT ROAD 1ST FLOOR
    ADELPHI, MD
    ZIP 20783
  • Facility Phone: 301 434-1884
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANTHONY B. BIVINS
  • NPI Number: 1396784203
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0996656
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ARA-ADELPHI LLC
Street 1801 METZEROTT ROAD 1ST FLOOR
City ADELPHI
State MD
ZIP 20783
Phone 301 434-1884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2024
Certificate Expiration Date 2/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANTHONY B. BIVINS

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