15D2076507 CLIA NUMBER - ELKHART DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2076507
  • Facility Name: ELKHART DIALYSIS
  • Facility Address: 1401 N MICHIGAN ST
    ELKHART, IN
    ZIP 46514
  • Facility Phone: 574 262-5295
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARGARET A. QUATE-OPERACZ
  • NPI Number: 1437561693
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2076507
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ELKHART DIALYSIS
Street 1401 N MICHIGAN ST
City ELKHART
State IN
ZIP 46514
Phone 574 262-5295
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
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