17D2043996 CLIA NUMBER - OTTAWA DIALYSIS

Laboratory Demographics

  • CLIA Code: 17D2043996
  • Facility Name: OTTAWA DIALYSIS
  • Facility Address: 1320 SOUTH ASH STREET SUITE 206
    OTTAWA, KS
    ZIP 66067
  • Facility Phone: (785) 242-5300
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LAKSHMI K. DUVVUR MD
  • NPI Number: 1972597029
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 17D2043996
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OTTAWA DIALYSIS
Street 1320 SOUTH ASH STREET SUITE 206
City OTTAWA
State KS
ZIP 66067
Phone 7852425300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LAKSHMI K. DUVVUR MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026