21D1103466 CLIA NUMBER - CALVERTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D1103466
  • Facility Name: CALVERTON DIALYSIS
  • Facility Address: 4780 CORRIDOR PL STE C
    BELTSVILLE, MD
    ZIP 20705
  • Facility Phone: 301 595-0231
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VISHWAM R. PANDYA
  • NPI Number: 1447495916
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1103466
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CALVERTON DIALYSIS
Street 4780 CORRIDOR PL STE C
City BELTSVILLE
State MD
ZIP 20705
Phone 301 595-0231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VISHWAM R. PANDYA

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