21D2092373 CLIA NUMBER - FORESTVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2092373
  • Facility Name: FORESTVILLE DIALYSIS
  • Facility Address: 3424 DONNELL DR
    FORESTVILLE, MD
    ZIP 20747
  • Facility Phone: (615) 320-4230
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. BABAK RAZI

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CLIA Record

Field Name Field Value
CLIA Number 21D2092373
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FORESTVILLE DIALYSIS
Street 3424 DONNELL DR
City FORESTVILLE
State MD
ZIP 20747
Phone 6153204230
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 DR. BABAK RAZI

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This page was last updated on: 6/29/2026