21D0996656 CLIA NUMBER - ARA-ADELPHI LLC

Laboratory Demographics

CLIA Number: 21D0996656

Facility Name: ARA-ADELPHI LLC

Facility Address:
1801 METZEROTT ROAD 1ST FLOOR
ADELPHI, MD
ZIP 20783
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Facility Phone Number: 301 434-1884

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1396784203

Taxonomy: 261QE0700X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	2/25/2024
CertificateExpirationDate	2/24/2026
FacilityType	Waiver

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