18D1030331 CLIA NUMBER - MADISONVILLE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 18D1030331
  • Facility Name: MADISONVILLE DIALYSIS CENTER
  • Facility Address: 255 EAST NORTH STREET
    MADISONVILLE, KY
    ZIP 42431
  • Facility Phone: (270) 821-7824
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DILIP UNNIKRISHNAN
  • NPI Number: 1326454448
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 18D1030331
LAB Type Physician Office
Facility Name MADISONVILLE DIALYSIS CENTER
Street 255 EAST NORTH STREET
City MADISONVILLE
State KY
ZIP 42431
Phone 2708217824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director DR. DILIP UNNIKRISHNAN

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