21D2024209 CLIA NUMBER - FOREST LANDING DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2024209
  • Facility Name: FOREST LANDING DIALYSIS
  • Facility Address: 2220 COMMERCE AVE STE 1
    FOREST HILL, MD
    ZIP 21050
  • Facility Phone: 410 638-6020
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. BERNARD JAAR
  • NPI Number: 1457652174
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2024209
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FOREST LANDING DIALYSIS
Street 2220 COMMERCE AVE STE 1
City FOREST HILL
State MD
ZIP 21050
Phone 410 638-6020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. BERNARD JAAR

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