18D0948442 CLIA NUMBER - GARDENSIDE DIALYSIS

Laboratory Demographics

  • CLIA Code: 18D0948442
  • Facility Name: GARDENSIDE DIALYSIS
  • Facility Address: 70 NORTH GARDENMILE ROAD
    HENDERSON, KY
    ZIP 42420
  • Facility Phone: 270 830-0050
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STANTON P. SCHULTZ
  • NPI Number: 1881650182
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D0948442
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GARDENSIDE DIALYSIS
Street 70 NORTH GARDENMILE ROAD
City HENDERSON
State KY
ZIP 42420
Phone 270 830-0050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STANTON P. SCHULTZ

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