21D2088738 CLIA NUMBER - KIDNEY HOME DOWNTOWN

Laboratory Demographics

  • CLIA Code: 21D2088738
  • Facility Name: KIDNEY HOME DOWNTOWN
  • Facility Address: 200 ST PAUL PLACE SUITE 5
    BALTIMORE, MD
    ZIP 21202
  • Facility Phone: 615 320-4230
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANITA PASUMARTHY
  • NPI Number: 1942623129
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2088738
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KIDNEY HOME DOWNTOWN
Street 200 ST PAUL PLACE SUITE 5
City BALTIMORE
State MD
ZIP 21202
Phone 615 320-4230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANITA PASUMARTHY

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