15D2146218 CLIA NUMBER - WHITING DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2146218
  • Facility Name: WHITING DIALYSIS
  • Facility Address: 816 119TH ST
    WHITING, IN
    ZIP 46394
  • Facility Phone: 219 473-0712
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD SALEH
  • NPI Number: 1730695024
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2146218
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WHITING DIALYSIS
Street 816 119TH ST
City WHITING
State IN
ZIP 46394
Phone 219 473-0712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOHAMMAD SALEH

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