15D1077858 CLIA NUMBER - KENDALLVILLE RENAL CENTER

Laboratory Demographics

  • CLIA Code: 15D1077858
  • Facility Name: KENDALLVILLE RENAL CENTER
  • Facility Address: 602 SAWYER RD
    KENDALLVILLE, IN
    ZIP 46755
  • Facility Phone: 260 599-0423
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KANAKAPURA VENKATAKRISHNA
  • NPI Number: 1205017811
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1077858
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KENDALLVILLE RENAL CENTER
Street 602 SAWYER RD
City KENDALLVILLE
State IN
ZIP 46755
Phone 260 599-0423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KANAKAPURA VENKATAKRISHNA

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