15D2104499 CLIA NUMBER - WHITEWATER VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2104499
  • Facility Name: WHITEWATER VALLEY DIALYSIS
  • Facility Address: 2302 CHESTER BLVD
    RICHMOND, IN
    ZIP 47374
  • Facility Phone: 765 935-5128
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARSHDEEP TIDNI
  • NPI Number: 1962878231
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2104499
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WHITEWATER VALLEY DIALYSIS
Street 2302 CHESTER BLVD
City RICHMOND
State IN
ZIP 47374
Phone 765 935-5128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARSHDEEP TIDNI

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