21D2042108 CLIA NUMBER - GLEN BURNIE HOME TRAINING

Laboratory Demographics

  • CLIA Code: 21D2042108
  • Facility Name: GLEN BURNIE HOME TRAINING
  • Facility Address: 6934 AVIATION BLVD STE H
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 760-4976
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ANITA PASUMARTHY
  • NPI Number: 1144597196
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2042108
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GLEN BURNIE HOME TRAINING
Street 6934 AVIATION BLVD STE H
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 760-4976
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. ANITA PASUMARTHY

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