21D2095218 CLIA NUMBER - FRIENDLY FARMS HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2095218
  • Facility Name: FRIENDLY FARMS HOME DIALYSIS
  • Facility Address: 10905 FORT WASHINGTON ROAD STE 307
    FORT WASHINGTON, MD
    ZIP 20744
  • Facility Phone: 301 292-0540
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ROOPALI GUPTA
  • NPI Number: 1396148540
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2095218
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRIENDLY FARMS HOME DIALYSIS
Street 10905 FORT WASHINGTON ROAD STE 307
City FORT WASHINGTON
State MD
ZIP 20744
Phone 301 292-0540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
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