21D2151742 CLIA NUMBER - FRESENIUS KIDNEY CARE WOLFE STREET PEDIATRICS

Laboratory Demographics

  • CLIA Code: 21D2151742
  • Facility Name: FRESENIUS KIDNEY CARE WOLFE STREET PEDIATRICS
  • Facility Address: 600 N WOLFE STREET CMSC 2
    BALTIMORE, MD
    ZIP 21287
  • Facility Phone: 410 502-2917
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA L. RUEBNER
  • NPI Number: 1235590241
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2151742
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS KIDNEY CARE WOLFE STREET PEDIATRICS
Street 600 N WOLFE STREET CMSC 2
City BALTIMORE
State MD
ZIP 21287
Phone 410 502-2917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director REBECCA L. RUEBNER

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