15D2008951 CLIA NUMBER - NEWBURGH DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2008951
  • Facility Name: NEWBURGH DIALYSIS
  • Facility Address: 4311 HWY 261 STE A
    NEWBURGH, IN
    ZIP 47630
  • Facility Phone: 812 853-2010
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD DMELLO
  • NPI Number: 1487984639
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2008951
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NEWBURGH DIALYSIS
Street 4311 HWY 261 STE A
City NEWBURGH
State IN
ZIP 47630
Phone 812 853-2010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RICHARD DMELLO

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