21D2135821 CLIA NUMBER - UNION MEMORIAL DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2135821
  • Facility Name: UNION MEMORIAL DIALYSIS
  • Facility Address: 201 E UNIVERSITY PARKWAY
    BALTIMORE, MD
    ZIP 21218
  • Facility Phone: 410 554-4536
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AKSHAY N. AMIN MD
  • NPI Number: 1548281520
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2135821
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UNION MEMORIAL DIALYSIS
Street 201 E UNIVERSITY PARKWAY
City BALTIMORE
State MD
ZIP 21218
Phone 410 554-4536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AKSHAY N. AMIN MD

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