21D2254752 CLIA NUMBER - PINEVIEW DIALYSIS CLINIC, LLC DBA RENALIS

Laboratory Demographics

  • CLIA Code: 21D2254752
  • Facility Name: PINEVIEW DIALYSIS CLINIC, LLC DBA RENALIS
  • Facility Address: 9106 PINEVIEW LANE
    CLINTON, MD
    ZIP 20735
  • Facility Phone: (301) 877-1536
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ELWIN G. BUSTOS
  • NPI Number: 1396418364
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2254752
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PINEVIEW DIALYSIS CLINIC, LLC DBA RENALIS
Street 9106 PINEVIEW LANE
City CLINTON
State MD
ZIP 20735
Phone 3018771536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2026
Certificate Expiration Date 3/6/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ELWIN G. BUSTOS

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This page was last updated on: 5/18/2026