15D1088112 CLIA NUMBER - NORTH VERNON DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D1088112
  • Facility Name: NORTH VERNON DIALYSIS
  • Facility Address: 2340 N STATE HWY 7
    NORTH VERNON, IN
    ZIP 47265
  • Facility Phone: 812 352-8150
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RUSSELL PIKUS
  • NPI Number: 1043475312
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1088112
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NORTH VERNON DIALYSIS
Street 2340 N STATE HWY 7
City NORTH VERNON
State IN
ZIP 47265
Phone 812 352-8150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RUSSELL PIKUS

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