18D1038914 CLIA NUMBER - LEITCHFIELD DIALYSIS

Laboratory Demographics

  • CLIA Code: 18D1038914
  • Facility Name: LEITCHFIELD DIALYSIS
  • Facility Address: 912 WALLACE AVENUE, SUITE 106
    LEITCHFIELD, KY
    ZIP 42754
  • Facility Phone: 270 230-0173
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KHALID BHATTI
  • NPI Number: 1700436235
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D1038914
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LEITCHFIELD DIALYSIS
Street 912 WALLACE AVENUE, SUITE 106
City LEITCHFIELD
State KY
ZIP 42754
Phone 270 230-0173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KHALID BHATTI

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: 9/29/2025