21D2042100 CLIA NUMBER - DEER CREEK HOME TRAINING

Laboratory Demographics

  • CLIA Code: 21D2042100
  • Facility Name: DEER CREEK HOME TRAINING
  • Facility Address: 602 S ATWOOD RD STE 106
    BEL AIR, MD
    ZIP 21014
  • Facility Phone: 410 838-4613
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. HYUNG LIM
  • NPI Number: 1205113636
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2042100
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DEER CREEK HOME TRAINING
Street 602 S ATWOOD RD STE 106
City BEL AIR
State MD
ZIP 21014
Phone 410 838-4613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. HYUNG LIM

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