21D2114478 CLIA NUMBER - FRESENIUS KIDNEY CARE CAROLINE STREET

Laboratory Demographics

  • CLIA Code: 21D2114478
  • Facility Name: FRESENIUS KIDNEY CARE CAROLINE STREET
  • Facility Address: 407 NORTH CAROLINE STREET
    BALTIMORE, MD
    ZIP 21231
  • Facility Phone: 410 537-5830
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DEREK FINE
  • NPI Number: 1689035693
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2114478
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE CAROLINE STREET
Street 407 NORTH CAROLINE STREET
City BALTIMORE
State MD
ZIP 21231
Phone 410 537-5830
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 DEREK FINE

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