21D2010961 CLIA NUMBER - UNIVERSAL DIALYSIS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 21D2010961
  • Facility Name: UNIVERSAL DIALYSIS CENTER, LLC
  • Facility Address: 3804 BLADENSBURG ROAD
    COTTAGE CITY, MD
    ZIP 20722
  • Facility Phone: 301 277-2704
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JAY OCUIN
  • NPI Number: 1942524079
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2010961
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UNIVERSAL DIALYSIS CENTER, LLC
Street 3804 BLADENSBURG ROAD
City COTTAGE CITY
State MD
ZIP 20722
Phone 301 277-2704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JAY OCUIN

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