21D2129487 CLIA NUMBER - RIDGE ROAD DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2129487
  • Facility Name: RIDGE ROAD DIALYSIS
  • Facility Address: 530 E RIDGEVILLE BLVD
    MOUNT AIRY, MD
    ZIP 21771
  • Facility Phone: 301 829-5683
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANITA NAHAR
  • NPI Number: 1548706351
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2129487
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIDGE ROAD DIALYSIS
Street 530 E RIDGEVILLE BLVD
City MOUNT AIRY
State MD
ZIP 21771
Phone 301 829-5683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANITA NAHAR

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