21D2105354 CLIA NUMBER - LARGO TOWN CENTER DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2105354
  • Facility Name: LARGO TOWN CENTER DIALYSIS
  • Facility Address: 1101 MERCANTILE LANE STE 104
    LARGO, MD
    ZIP 20774
  • Facility Phone: 301 341-7480
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANAND G. DESAI
  • NPI Number: 1144607839
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2105354
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LARGO TOWN CENTER DIALYSIS
Street 1101 MERCANTILE LANE STE 104
City LARGO
State MD
ZIP 20774
Phone 301 341-7480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANAND G. DESAI

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