15D0917512 CLIA NUMBER - QUAD COUNTIES DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D0917512
  • Facility Name: QUAD COUNTIES DIALYSIS
  • Facility Address: 528 N GRANDSTAFF DR
    AUBURN, IN
    ZIP 46706
  • Facility Phone: 260 927-0100
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARK KAPLAN
  • NPI Number: 1043266745
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0917512
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name QUAD COUNTIES DIALYSIS
Street 528 N GRANDSTAFF DR
City AUBURN
State IN
ZIP 46706
Phone 260 927-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARK KAPLAN

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