23D0963683 CLIA NUMBER - TOTAL RENAL CARE INC DBA GAYLORD DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D0963683
  • Facility Name: TOTAL RENAL CARE INC DBA GAYLORD DIALYSIS
  • Facility Address: 1989 WALDEN DRIVE
    GAYLORD, MI
    ZIP 49735
  • Facility Phone: 989 731-6418
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ADEEL KHAN
  • NPI Number: 1093090177
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D0963683
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TOTAL RENAL CARE INC DBA GAYLORD DIALYSIS
Street 1989 WALDEN DRIVE
City GAYLORD
State MI
ZIP 49735
Phone 989 731-6418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
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