15D2050791 CLIA NUMBER - MISHAWAKA DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2050791
  • Facility Name: MISHAWAKA DIALYSIS
  • Facility Address: 1420 TRINITY PL
    MISHAWAKA, IN
    ZIP 46545
  • Facility Phone: 574 243-3764
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARGARET A. QUATE-OPERACZ
  • NPI Number: 1932451671
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2050791
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MISHAWAKA DIALYSIS
Street 1420 TRINITY PL
City MISHAWAKA
State IN
ZIP 46545
Phone 574 243-3764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARGARET A. QUATE-OPERACZ

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