23D0961310 CLIA NUMBER - TOTAL RENAL CARE IN DBA MIDLAND DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D0961310
  • Facility Name: TOTAL RENAL CARE IN DBA MIDLAND DIALYSIS
  • Facility Address: 4901 JEFFERSON AVENUE
    MIDLAND, MI
    ZIP 48640
  • Facility Phone: 989 839-7770
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ADEEL KHAN
  • NPI Number: 1477838613
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0961310
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TOTAL RENAL CARE IN DBA MIDLAND DIALYSIS
Street 4901 JEFFERSON AVENUE
City MIDLAND
State MI
ZIP 48640
Phone 989 839-7770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ADEEL KHAN

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