18D1085469 CLIA NUMBER - WILLIAMSTOWN DIALYSIS

Laboratory Demographics

CLIA Number: 18D1085469

Facility Name: WILLIAMSTOWN DIALYSIS

Facility Address:
103 BARNES ROAD, SUITE A
WILLIAMSTOWN, KY
ZIP 41097
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Facility Phone Number: 859 823-0500

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1194998013

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D1085469
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	WILLIAMSTOWN DIALYSIS
Street	103 BARNES ROAD, SUITE A
City	WILLIAMSTOWN
State	KY
ZIP	41097
Phone	859 823-0500
CertificateType	4
CertificateEffectiveDate	6/18/2022
CertificateExpirationDate	6/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024