21D2118090 CLIA NUMBER - MT RAINIER DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2118090
  • Facility Name: MT RAINIER DIALYSIS
  • Facility Address: 2303 VARNUM STREET
    MT RAINIER, MD
    ZIP 20712
  • Facility Phone: 301 277-5350
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. AROTI HEDGE
  • NPI Number: 1457706467
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2118090
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MT RAINIER DIALYSIS
Street 2303 VARNUM STREET
City MT RAINIER
State MD
ZIP 20712
Phone 301 277-5350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. AROTI HEDGE

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