21D2167686 CLIA NUMBER - TIMONIUM DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2167686
  • Facility Name: TIMONIUM DIALYSIS
  • Facility Address: 1840 YORK RD TE A
    LUTHERVILLE TIMONIUM, MD
    ZIP 21093
  • Facility Phone: 615 347-5875
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANITA PASUMARTHY
  • NPI Number: 1205399854
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2167686
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TIMONIUM DIALYSIS
Street 1840 YORK RD TE A
City LUTHERVILLE TIMONIUM
State MD
ZIP 21093
Phone 615 347-5875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANITA PASUMARTHY

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