18D2117509 CLIA NUMBER - BRIDGEVIEW DIALYSIS

Laboratory Demographics

  • CLIA Code: 18D2117509
  • Facility Name: BRIDGEVIEW DIALYSIS
  • Facility Address: 2480 US HWY 41 N, SUITE J
    HENDERSON, KY
    ZIP 42420
  • Facility Phone: (270) 830-8061
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NAROTHAMA R. AEDDULA MD

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CLIA Record

Field Name Field Value
CLIA Number 18D2117509
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BRIDGEVIEW DIALYSIS
Street 2480 US HWY 41 N, SUITE J
City HENDERSON
State KY
ZIP 42420
Phone 2708308061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NAROTHAMA R. AEDDULA MD

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