15D2137189 CLIA NUMBER - SULLIVAN DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2137189
  • Facility Name: SULLIVAN DIALYSIS
  • Facility Address: 2232 N HOSPITAL BLVD, SUITE 1
    SULLIVAN, IN
    ZIP 47882
  • Facility Phone: (812) 268-5593
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NAMAN TRIVEDI

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CLIA Record

Field Name Field Value
CLIA Number 15D2137189
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SULLIVAN DIALYSIS
Street 2232 N HOSPITAL BLVD, SUITE 1
City SULLIVAN
State IN
ZIP 47882
Phone 8122685593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NAMAN TRIVEDI

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This page was last updated on: 5/15/2026