21D2118570 CLIA NUMBER - NXSTAGE KIDNEY CARE GREENBELT LLC

Laboratory Demographics

  • CLIA Code: 21D2118570
  • Facility Name: NXSTAGE KIDNEY CARE GREENBELT LLC
  • Facility Address: 10003 DEREKWOOD LANE SUITE 100
    LANHAM, MD
    ZIP 20706
  • Facility Phone: 240 544-0811
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TOWANDA MAKER RN
  • NPI Number: 1679976633
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2118570
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NXSTAGE KIDNEY CARE GREENBELT LLC
Street 10003 DEREKWOOD LANE SUITE 100
City LANHAM
State MD
ZIP 20706
Phone 240 544-0811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TOWANDA MAKER RN

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