15D1060930 CLIA NUMBER - LIBERTY DIALYSIS - CRAWFORDSVILLE

Laboratory Demographics

  • CLIA Code: 15D1060930
  • Facility Name: LIBERTY DIALYSIS - CRAWFORDSVILLE
  • Facility Address: 1710 LAFAYETTE ROAD
    CRAWFORDSVILLE, IN
    ZIP 47933
  • Facility Phone: 765 359-1613
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUDHA Y. RANI
  • NPI Number: 1336239730
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1060930
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIBERTY DIALYSIS - CRAWFORDSVILLE
Street 1710 LAFAYETTE ROAD
City CRAWFORDSVILLE
State IN
ZIP 47933
Phone 765 359-1613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUDHA Y. RANI

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