21D1082276 CLIA NUMBER - FREDERICK KIDNEY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D1082276
  • Facility Name: FREDERICK KIDNEY CARE ASSOCIATES
  • Facility Address: 5205 CHAIRMANS COURT SUITE 100
    FREDERICK, MD
    ZIP 21703
  • Facility Phone: 301 696-0012
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROHAN RENGEN DO
  • NPI Number: 1861744559
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D1082276
LAB Type Physician Office
Facility Name FREDERICK KIDNEY CARE ASSOCIATES
Street 5205 CHAIRMANS COURT SUITE 100
City FREDERICK
State MD
ZIP 21703
Phone 301 696-0012
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Physician Office
Lab Director ROHAN RENGEN DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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