21D2115922 CLIA NUMBER - FRESENIUS KIDNEY CARE BROADWAY

Laboratory Demographics

  • CLIA Code: 21D2115922
  • Facility Name: FRESENIUS KIDNEY CARE BROADWAY
  • Facility Address: 1900 N BROADWAY
    BALTIMORE, MD
    ZIP 21213
  • Facility Phone: 410 261-3252
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MELANIE K. HAROUN
  • NPI Number: 1679934699
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2115922
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE BROADWAY
Street 1900 N BROADWAY
City BALTIMORE
State MD
ZIP 21213
Phone 410 261-3252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MELANIE K. HAROUN

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