21D2092371 CLIA NUMBER - GREENBELT HOME TRAINING

Laboratory Demographics

  • CLIA Code: 21D2092371
  • Facility Name: GREENBELT HOME TRAINING
  • Facility Address: 10210 GREENBELT ROAD SUITE 100
    LANHAM, MD
    ZIP 20706
  • Facility Phone: 301 794-0142
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PROMOD DUGGAL
  • NPI Number: 1053713784
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2092371
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREENBELT HOME TRAINING
Street 10210 GREENBELT ROAD SUITE 100
City LANHAM
State MD
ZIP 20706
Phone 301 794-0142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PROMOD DUGGAL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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