15D0885196 CLIA NUMBER - LAWRENCEBURG DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 15D0885196
  • Facility Name: LAWRENCEBURG DIALYSIS CENTER
  • Facility Address: 721 RUDOLPH WAY
    GREENDALE, IN
    ZIP 47025
  • Facility Phone: 812 537-4240
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALVARO RYES
  • NPI Number: 1649234196
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0885196
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LAWRENCEBURG DIALYSIS CENTER
Street 721 RUDOLPH WAY
City GREENDALE
State IN
ZIP 47025
Phone 812 537-4240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALVARO RYES

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