21D2144795 CLIA NUMBER - LA PLATA DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2144795
  • Facility Name: LA PLATA DIALYSIS
  • Facility Address: 6700 CRAIN HWY
    LA PLATA, MD
    ZIP 20646
  • Facility Phone: 301 934-2784
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ADITYA KADIYALA
  • NPI Number: 1467950634
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2144795
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LA PLATA DIALYSIS
Street 6700 CRAIN HWY
City LA PLATA
State MD
ZIP 20646
Phone 301 934-2784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ADITYA KADIYALA

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