21D2152165 CLIA NUMBER - CAROLINE COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2152165
  • Facility Name: CAROLINE COUNTY DIALYSIS
  • Facility Address: 842 S 5TH AVENUE
    DENTON, MD
    ZIP 21629
  • Facility Phone: 410 479-4639
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANISH M. HINDUJA MD
  • NPI Number: 1134614654
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2152165
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CAROLINE COUNTY DIALYSIS
Street 842 S 5TH AVENUE
City DENTON
State MD
ZIP 21629
Phone 410 479-4639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANISH M. HINDUJA MD

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