18D1039224 CLIA NUMBER - DIALYSIS CLINIC, INC

Laboratory Demographics

  • CLIA Code: 18D1039224
  • Facility Name: DIALYSIS CLINIC, INC
  • Facility Address: 100 VENTURE COURT
    LEXINGTON, KY
    ZIP 40511
  • Facility Phone: 859 252-7712
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. MOSTAFA AMR
  • NPI Number: 1407324247
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D1039224
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC, INC
Street 100 VENTURE COURT
City LEXINGTON
State KY
ZIP 40511
Phone 859 252-7712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. MOSTAFA AMR

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