21D2185100 CLIA NUMBER - ADVANCED DIALYSIS CENTER - CROFTON

Laboratory Demographics

  • CLIA Code: 21D2185100
  • Facility Name: ADVANCED DIALYSIS CENTER - CROFTON
  • Facility Address: 2131 DAVIDSONVILLE ROAD
    CROFTON, MD
    ZIP 21114
  • Facility Phone: 301 577-1007
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. KRYT CHATTRABHUTI
  • NPI Number: 1265062954
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2185100
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ADVANCED DIALYSIS CENTER - CROFTON
Street 2131 DAVIDSONVILLE ROAD
City CROFTON
State MD
ZIP 21114
Phone 301 577-1007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. KRYT CHATTRABHUTI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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