18D2137827 CLIA NUMBER - LOST RIVER DIALYSIS

Laboratory Demographics

  • CLIA Code: 18D2137827
  • Facility Name: LOST RIVER DIALYSIS
  • Facility Address: 737 DISHMAN LANE
    BOWLING GREEN, KY
    ZIP 42101
  • Facility Phone: 270 846-1054
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MR. HASAN IFTIKHAR
  • NPI Number: 1467978791
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2137827
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LOST RIVER DIALYSIS
Street 737 DISHMAN LANE
City BOWLING GREEN
State KY
ZIP 42101
Phone 270 846-1054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MR. HASAN IFTIKHAR

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