21D2087730 CLIA NUMBER - CONCERTO MARYLAND LLC

Laboratory Demographics

  • CLIA Code: 21D2087730
  • Facility Name: CONCERTO MARYLAND LLC
  • Facility Address: 20 CRAIGTOWN RD SUITE 106
    PORT DEPOSIT, MD
    ZIP 21904
  • Facility Phone: 847 443-1228
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MATTHEW WEIR
  • NPI Number: 1598228249
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2087730
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CONCERTO MARYLAND LLC
Street 20 CRAIGTOWN RD SUITE 106
City PORT DEPOSIT
State MD
ZIP 21904
Phone 847 443-1228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MATTHEW WEIR

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