21D2066239 CLIA NUMBER - CORAL HILLS DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2066239
  • Facility Name: CORAL HILLS DIALYSIS
  • Facility Address: 4797 MARLBORO PIKE
    CAPITOL HEIGHTS, MD
    ZIP 20743
  • Facility Phone: 301 420-1513
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ROOPALI GUPTA
  • NPI Number: 1942554407
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2066239
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CORAL HILLS DIALYSIS
Street 4797 MARLBORO PIKE
City CAPITOL HEIGHTS
State MD
ZIP 20743
Phone 301 420-1513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ROOPALI GUPTA

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