21D2136936 CLIA NUMBER - GAITHERSBURG DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2136936
  • Facility Name: GAITHERSBURG DIALYSIS
  • Facility Address: 202 PERRY PARKWAY SUITE 3
    GAITHERSBURG, MD
    ZIP 20877
  • Facility Phone: 301 987-0912
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SORANA HILA MD
  • NPI Number: 1013433713
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2136936
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GAITHERSBURG DIALYSIS
Street 202 PERRY PARKWAY SUITE 3
City GAITHERSBURG
State MD
ZIP 20877
Phone 301 987-0912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SORANA HILA MD

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