21D2112425 CLIA NUMBER - US RENAL CARE FORT WASHINGTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2112425
  • Facility Name: US RENAL CARE FORT WASHINGTON DIALYSIS
  • Facility Address: 10707 INDIAN HEAD HIGHWAY
    FORT WASHINGTON, MD
    ZIP 20744
  • Facility Phone: 301 292-3610
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. YSMAEL JOHN A. QUIAOIT
  • NPI Number: 1164880936
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2112425
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name US RENAL CARE FORT WASHINGTON DIALYSIS
Street 10707 INDIAN HEAD HIGHWAY
City FORT WASHINGTON
State MD
ZIP 20744
Phone 301 292-3610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. YSMAEL JOHN A. QUIAOIT

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