21D2114477 CLIA NUMBER - FRESENIUS KIDNEY CARE FLEET STREET

Laboratory Demographics

  • CLIA Code: 21D2114477
  • Facility Name: FRESENIUS KIDNEY CARE FLEET STREET
  • Facility Address: 3700 FLEET STREET STE 102
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 410 276-1680
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DUVURU GEETHA MD
  • NPI Number: 1053772079
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2114477
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE FLEET STREET
Street 3700 FLEET STREET STE 102
City BALTIMORE
State MD
ZIP 21224
Phone 410 276-1680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DUVURU GEETHA MD

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