15D1057397 CLIA NUMBER - LAFAYETTE HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D1057397
  • Facility Name: LAFAYETTE HOME DIALYSIS
  • Facility Address: 2 EXECUTIVE DR STE B
    LAFAYETTE, IN
    ZIP 47905
  • Facility Phone: 765 446-1627
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAMES M. SUTTON
  • NPI Number: 1831685882
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1057397
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LAFAYETTE HOME DIALYSIS
Street 2 EXECUTIVE DR STE B
City LAFAYETTE
State IN
ZIP 47905
Phone 765 446-1627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAMES M. SUTTON

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