21D1106666 CLIA NUMBER - WINDSOR DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D1106666
  • Facility Name: WINDSOR DIALYSIS
  • Facility Address: 2707 ROLLING ROAD STE 104
    WINDSOR MILL, MD
    ZIP 21244
  • Facility Phone: 615 320-4214
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. TIN O. MAUNG
  • NPI Number: 1487056917
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D1106666
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WINDSOR DIALYSIS
Street 2707 ROLLING ROAD STE 104
City WINDSOR MILL
State MD
ZIP 21244
Phone 615 320-4214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. TIN O. MAUNG

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