21D2176505 CLIA NUMBER - WASHINGTON NEPHROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 21D2176505
  • Facility Name: WASHINGTON NEPHROLOGY ASSOCIATES
  • Facility Address: 5445 LOCH RAVEN BLVD
    BALTIMORE, MD
    ZIP 21239
  • Facility Phone: 410 855-4447
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. YOUSSEF HOKAYEM
  • NPI Number: 1972303154
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2176505
LAB Type Physician Office
Facility Name WASHINGTON NEPHROLOGY ASSOCIATES
Street 5445 LOCH RAVEN BLVD
City BALTIMORE
State MD
ZIP 21239
Phone 410 855-4447
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Physician Office
Lab Director DR. YOUSSEF HOKAYEM

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