15D2087199 CLIA NUMBER - IRISH DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2087199
  • Facility Name: IRISH DIALYSIS
  • Facility Address: 4350 S IRONWOOD DR
    SOUTH BEND, IN
    ZIP 46614
  • Facility Phone: 574 299-4529
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARIF GOREJA
  • NPI Number: 1982008355
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2087199
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name IRISH DIALYSIS
Street 4350 S IRONWOOD DR
City SOUTH BEND
State IN
ZIP 46614
Phone 574 299-4529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARIF GOREJA

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