22D0946656 CLIA NUMBER - DIALYSIS CLINIC, INC - BALL SQUARE

Laboratory Demographics

  • CLIA Code: 22D0946656
  • Facility Name: DIALYSIS CLINIC, INC - BALL SQUARE
  • Facility Address: 643 BROADWAY STREET
    SOMERVILLE, MA
    ZIP 02145
  • Facility Phone: 617 616-3600
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KLEMENS MEYER
  • NPI Number: 1972536357
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D0946656
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DIALYSIS CLINIC, INC - BALL SQUARE
Street 643 BROADWAY STREET
City SOMERVILLE
State MA
ZIP 02145
Phone 617 616-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KLEMENS MEYER

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