21D2099542 CLIA NUMBER - BRANDYWINE DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2099542
  • Facility Name: BRANDYWINE DIALYSIS
  • Facility Address: 7651 MATAPEAKE BUSINESS DR STE 206
    BRANDYWINE, MD
    ZIP 20613
  • Facility Phone: 301 782-7863
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. ATUL KATYAL
  • NPI Number: 1861899049
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2099542
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRANDYWINE DIALYSIS
Street 7651 MATAPEAKE BUSINESS DR STE 206
City BRANDYWINE
State MD
ZIP 20613
Phone 301 782-7863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. ATUL KATYAL

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