15D1084052 CLIA NUMBER - PRINCETON DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D1084052
  • Facility Name: PRINCETON DIALYSIS
  • Facility Address: 2227 SHERMAN DR
    PRINCETON, IN
    ZIP 47670
  • Facility Phone: 812 385-2906
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SVETLANA V. JONES
  • NPI Number: 1649458076
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1084052
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PRINCETON DIALYSIS
Street 2227 SHERMAN DR
City PRINCETON
State IN
ZIP 47670
Phone 812 385-2906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SVETLANA V. JONES

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