21D2233536 CLIA NUMBER - HYATTSVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 21D2233536
  • Facility Name: HYATTSVILLE DIALYSIS
  • Facility Address: 5803A EASTERN AVE
    HYATTSVILLE, MD
    ZIP 20782
  • Facility Phone: 240 825-2334
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ROOPALI GUPTA
  • NPI Number: 1023685955
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2233536
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HYATTSVILLE DIALYSIS
Street 5803A EASTERN AVE
City HYATTSVILLE
State MD
ZIP 20782
Phone 240 825-2334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ROOPALI GUPTA

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